Donor 4858: Basic Donor Profile

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Pricing & Ordering Information

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1-3 Unit Purchase
  • Regular Storage Options Apply: $50 per month, $190 for 6 months, $360 for one year
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  • 6 month buy back at 50% of the original purchase cost, when stored at Xytex
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Unit Type Available for Donor #BGL4858 Price Per Unit
Washed ID Disclosure $835
Unwashed ID Disclosure $700
ART ID Disclosure Units $550

Due to inventory, above prices do not guarantee that listed vial types are currently available.
Please contact our customer service team to verify if the needed vial type is in stock.


Canadian Customers

Please contact your Canadian distributor for this donor's availability.

Outreach Health Services - 1-866-785-4709
CAN-AM Cryoservices - 1-888-245-3471
ReproMed - 1-877-317-6079 ext 2

General Information
Donor ID:
4858
Year of Birth:
1982
Marital Status:
Married
Number of Children:
0
Religion:
None
Occupation:
Health Center Coordinator
Blood Type:
A +
Ethnicity:
Dutch, English, German, Scottish
Race:
Caucasian
CMV Status:
POS
Last Medical History Update:
Jan 27, 2014
Reported Pregnancy:
No
Canadian Compliance:
Yes
UK Compliance:
Yes
Identity Disclosure:
Yes
3 photos available.

Purchase this enhanced profile to view the photos.
Child Photo
Adult Photo
Audio File:
Not Available

Genetic Testing Performed:

Genetic Testing Performed-Please review the list of genetic tests performed before choosing a donor because donors have different levels of testing. Genetics is very complicated and testing can only reduce but not eliminate the risk of a donor being a carrier of a particular condition.

Physical Attributes
Height:
5'11" (180.34 cm)
Weight:
210 lbs (95 kg)
Eye Color:
Blue
Hair Color:
Brown, Medium
Hair Texture:
Average
Hair Loss:
None
Hair Type:
Straight
Body Build:
Large
Freckles:
 
Skin Tone:
Medium

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Genetic Testing

Over the years, Xytex has expanded genetic testing of donors as genetic knowledge and technology have advanced. As a result, not all donors have been tested for the same conditions or with the same methods. "xyGene" donors have undergone the most extensive testing. For more information about genetic testing view our "Genetics Video and FAQs."

This donor has been evaluated for carrier status of the listed conditions. A negative result reduces, but does not eliminate, the likelihood of the donor being a carrier. If you are a known carrier of a genetic condition please contact us, and we will provide a copy of the donor's test reports to your physician and/or genetic counselor.

 

Normal complete blood count and hemoglobin analysis; does not exclude silent carrier status or alpha thalassemia minor
Normal complete blood count and hemoglobin analysis
Normal male karyotype
No disease-causing mutations detected
Normal complete blood count and hemoglobin analysis
No disease-causing mutations detected (2 copies)
Normal enzyme analysis
Donor Health Information
Medication Allergy:
No
Food Allergy:
No
Pet Allergy:
No
Hay Fever Allergy:
No
Insect Allergy:
No
Vaccine Allergy:
No
Healthy Teeth:
Yes
Braces:
No
Back Problems:
No
Bronchitis:
No
Chicken Pox:
Yes
Chicken Pox Age:
7
Vertigo:
No
Eyesight Correction:
No
Near or Far Sighted:
 
Skin Infection:
No
Gallstones:
No
Removed Gall Bladder:
No
Hernia:
No
Mumps:
No
Measles:
No
Measles Age:
 
German Measles:
No
German Measles Age:
 
Sinus Infection:
Yes
Stomach Ulcers:
No

*The medical and social history was provided by the donor and cannot be verified for accuracy.

Personality and Interests Attributes
Skills Hobbies and Interest:
Instruction
Education Information

In School: Yes
In School Major: Human Resources

Training Type:
Multiple teaching certificates from the American, Red Cross

College Degrees:
Bachelor of Arts, Masters

Immediate Family Medical History
Family Member:
Brother
Hair Color:
Auburn
Eyesight:
Good
 
 
Freckles:
Numerous
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Olive
Dominant Hand:
Right
Year of Birth:
1979
Cause of Death:
 
Hair Loss
 
Height:
6' 03'' (190.50 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
185 lbs. (83 kg)
Occupation:
Automotive Designer
Eye Color:
Blue
Half Siblings:
No
Education:
College
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
Contacts
Near or
Far Sighted:
Nearsighted
Comments:
Designs children's toys for major toy company in spare time. Exceptional Artist, also mechanically inclined.
Health Condition:
ADD or ADHD at age 10
Family Member:
Brother
Hair Color:
Brown, Dark
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Olive
Dominant Hand:
Left
Year of Birth:
1983
Cause of Death:
 
Hair Loss
 
Height:
6' 02'' (187.96 cm)
Age at Death:
 
Body Hair:
 
Weight:
225 lbs. (102 kg)
Occupation:
Medical Physicist
Eye Color:
Green
Half Siblings:
No
Education:
Ph.D.
Body Build:
Large
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
Round face, Enjoys computer programming. Very logical, mechanically inclined. Able to disassemble & reassemble computers, machines or electronics easily.
Family Member:
Father
Hair Color:
Brown, Lightest
Eyesight:
Fair
 
 
Freckles:
Few
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Medium
Dominant Hand:
Left
Year of Birth:
1942
Cause of Death:
 
Hair Loss
 
Height:
6' 02'' (187.96 cm)
Age at Death:
 
Body Hair:
Straight
Weight:
235 lbs. (106 kg)
Occupation:
Automotive Engineer
Eye Color:
Brown
Half Siblings:
No
Education:
College
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
Nearsighted
Comments:
He has high cheek bones. Enjoys boating, & small engine repair.
Health Condition:
High Blood Pressure at age 62
Family Member:
Mother
Hair Color:
Brown, Dark
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1948
Cause of Death:
 
Hair Loss
 
Height:
5' 08'' (172.72 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
150 lbs. (68 kg)
Occupation:
IT Consultant/Manager
Eye Color:
Brown
Half Siblings:
No
Education:
Masters
Body Build:
Small
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
Farsighted
Comments:
Likes animals & computers, Accidently punctured ear drum in one ear when she was 5. She only hears a little in that ear.
Health Condition:
Allergies (Hay Fever) at age 15
Health Condition:
Cancer (Breast) at age 52
Health Condition:
Deafness (before age 50) at age 5

Accidentally punctured drum
Paternal Family Medical History
Family Member:
Aunt
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1940
Cause of Death:
 
Hair Loss
 
Height:
Age at Death:
 
Body Hair:
 
Weight:
Occupation:
 
Eye Color:
 
Half Siblings:
No
Education:
 
Body Build:
 
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
 
Family Member:
Aunt
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1946
Cause of Death:
 
Hair Loss
 
Height:
Age at Death:
 
Body Hair:
 
Weight:
Occupation:
 
Eye Color:
 
Half Siblings:
No
Education:
 
Body Build:
 
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
 
Family Member:
Grandfather
Hair Color:
Brown, Dark
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Deceased
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1920
Cause of Death:
Car Accident
Hair Loss
 
Height:
6' 04'' (193.04 cm)
Age at Death:
50
Body Hair:
Straight
Weight:
200 lbs. (90 kg)
Occupation:
Machinist/Farmer
Eye Color:
Brown
Half Siblings:
No
Education:
High School
Body Build:
Large
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
Nearsighted
Comments:
Enjoyed fishing, farming and small engine repair.
Family Member:
Grandmother
Hair Color:
Brown, Dark
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Deceased
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1924
Cause of Death:
pneumonia
Hair Loss
 
Height:
5' 11'' (180.34 cm)
Age at Death:
80
Body Hair:
Wavy
Weight:
140 lbs. (63 kg)
Occupation:
Teacher
Eye Color:
Brown
Half Siblings:
No
Education:
College
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
Nearsighted
Comments:
Enjoyed games & cooking
Maternal Family Medical History
Family Member:
Grandfather
Hair Color:
Brown, Dark
Eyesight:
Fair
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Deceased
Skin Tone:
Olive
Dominant Hand:
Right
Year of Birth:
1924
Cause of Death:
Pneumonia/Alzheimer's
Hair Loss
 
Height:
5' 10'' (177.80 cm)
Age at Death:
72
Body Hair:
Straight
Weight:
180 lbs. (81 kg)
Occupation:
Banker
Eye Color:
Brown
Half Siblings:
No
Education:
Masters
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
Nearsighted
Comments:
Enjoyed bird watching & boating
Health Condition:
Neurologic (Alzheimer's) at age 70
Family Member:
Grandmother
Hair Color:
Brown, Lightest
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Deceased
Skin Tone:
Fair
Dominant Hand:
Right
Year of Birth:
1926
Cause of Death:
Old Age/grief
Hair Loss
 
Height:
5' 06'' (167.64 cm)
Age at Death:
73
Body Hair:
Wavy
Weight:
120 lbs. (54 kg)
Occupation:
Nurse
Eye Color:
Blue
Half Siblings:
No
Education:
College
Body Build:
Small
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
Farsighted
Comments:
Enjoyed puzzles, games & crosswords
The following medical conditions apply to the donor and his BLOOD RELATIVES ONLY
(grandparents, parents, aunts, uncles, cousins, brothers, sisters, nieces, nephews, and children of the donor). Please click on the Medical History Questionnaire to see all the questions that the donor must answer. If the donor answers "yes" to any high risk question, the donor is ineligible.
Medical History Questionnaire
Autoimmune Diseases   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
CREST Syndrome     X        
Lupus     X        
Scleroderma     X        
Sjorgen's Syndrome     X        
Blood Diseases   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Anemia     X        
Fanconi Anemia     X        
Hemophilia     X        
Immunodeficiency     X        
Leukemia     X        
Sickle Cell     X        
Thalassemia     X        
VonWillebrand's disease     X        
Cancer   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Cancer (Breast)   X   Mother   X 52
Cancer (Lung)     X        
Cancer (Other)     X        
Cancer (Skin)     X        
Lymphoma     X        
Melanoma     X        
Tumor     X        
Cardio Vascular Diseases   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Congenital Heart Disease     X        
Heart Attack     X        
Heart Disease     X        
High Blood Pressure   X   Father X   62
High Cholesterol / Triglycerides     X        
Stroke     X        
Congenital Malformations   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Deviated Septum     X        
Malformations (Cleft Lip)     X        
Malformations (Cleft Palate)     X        
Malformations (Club Foot)     X        
Malformations (Hypospadias)     X        
Malformations (Other)     X        
Malformations (Polydactyly)     X        
Undescended Testicles     X        
Gastro-Intestinal Diseases   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Gallstones     X        
GI (Crohns)     X        
GI (Diverticulitis)     X        
GI (Other)     X        
GI (Pyloric Stenosis)     X        
GI (Ulcerative Colitis)     X        
GI (Ulcers)     X        
Hemochromatosis     X        
Hepatitis     X        
Kidney Disease   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Adrenal Hyperplasia     X        
Born with 1 kidney     X        
Kidney (Other)     X        
Kidney disease of urinary tract disorder     X        
Kidney Disorder     X        
Polycystic Kidney Disease     X        
Progressive Kidney Disease     X        
Mental Health   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Mental (Depression)     X        
Mental (Manic Depressive)     X        
Mental (Schizophrenia)     X        
Mental Retardation     X        
Obsessive-compulsive disorder     X        
Metabolic / Endrocrine Dis.   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Diabetes (Insulin Dependent)     X        
Diabetes (Non-Insulin Dependent)     X        
Galactosemia     X        
Gaucher's disease     X        
Goiter     X        
Hypoglycemia     X        
Maple Syrup disease     X        
PKU or Inherited Metabolic Disorder     X        
Tay Sachs     X        
Thyroid Disorder     X        
Muscular / Bones / Joint Disease   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Acondroplasia (Dwarfism)     X        
Arthritis (Other)     X        
Congenital Hip Disease     X        
Gout     X        
Loss of Muscle Coordination     X        
Marfan's Disease     X        
Muscular Dystrophy     X        
Osteoarthritis     X        
Osteoporosis     X        
Rheumatoid Arthritis     X        
Scoliosis     X        
Spinal Muscular Atrophy     X        
Neurological Diseases   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
ADD or ADHD   X   Brother     10
Autism / Aspergers     X        
Canavan's disease     X        
Cerebral Palsy     X        
Disorders of the spinal cord     X        
Dyslexia     X        
Familial dysautonomia     X        
Lesch-Nyhan Syndrome     X        
Migraines     X        
Mucolipidosis type IV     X        
Neurologic (Alzheimer's)   X   Grandfather   X 70
Neurologic (Creutzfeld-Jacob Disease)     X        
Neurologic (Epilepsy)     X        
Neurologic (Guillain Barre)     X        
Neurologic (Huntington's)     X        
Neurologic (JC Virus)     X        
Neurologic (Lou Gehrig's Disease)     X        
Neurologic (Multiple Sclerosis)     X        
Neurologic (Neural Tube Defect)     X        
Neurologic (Neurofibrimatosis)     X        
Neurologic (Parkinson's Disease)     X        
Neurologic (Subacute Sclerosing Panencephalitis)     X        
Nieman-Pick     X        
Spongioform encephalopathy / prion disease     X        
Tourette Syndrome     X        
Respiratory Disease   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Allergies (Drug)     X        
Allergies (Food)     X        
Allergies (Hay Fever)   X   Mother   X 15
Allergies (Insect)     X        
Allergies (Other)     X        
Allergies (Pet)     X        
Asthma     X        
Emphysema     X        
SARS     X        
Tuberculosis     X        
Sight / Sound / Smell   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Cataracts     X        
Deafness     X        
Deafness (before age 50)   X   Mother   X 5
Ear deformity     X        
Eyesight (Blindness)     X        
Eyesight (Color Blindness)     X        
Eyesight (Glaucoma)     X        
Eyesight (Other)     X        
Eyesight (Retinoblastoma)     X        
Macular degeneration     X        
Skin   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Albinism     X        
Eczema     X        
Pigmentation disorders (including Vitiligo)     X        
Psoriasis     X        
Skin Disease     X        
Additional Information