Donor 5004: Basic Donor Profile

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Advisory

xyLimited Donor

xyLimited is an exciting, new option that offers the peace of mind of a lower family unit limit of only 15 family units.

Pricing & Ordering Information

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Purchase Qty Options
1-3 Unit Purchase
  • Regular Storage Options Apply: $50 per month, $190 for 6 months, $360 for one year
  • No Buyback Option
4 Unit Purchase
  • 6 months of free storage
  • 6 month buy back at 50% of the original purchase cost, when stored at Xytex
6 Unit Purchase
  • 1 year of free storage
  • 1 year buy back at 50% of the original purchase cost, when stored at Xytex
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  • 2 year buy back at 50% of the original purchase cost, when stored at Xytex
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This donor is an xyLimited Donor. xyLimited donors cost more because we limit their births to 15 or less families.

Unit Type Available for Donor #BJL5004 Price Per Unit
Washed ID Disclosure $935
ART ID Disclosure Units $650

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:
5004
Year of Birth:
1986
Marital Status:
Single
Number of Children:
0
Religion:
Christian
Occupation:
Student
Blood Type:
O -
Ethnicity:
Irish, Scottish, Welsh
Race:
Caucasian
CMV Status:
POS
Last Medical History Update:
Jul 22, 2010
Reported Pregnancy:
Yes
Canadian Compliance:
Yes
UK Compliance:
No
Identity Disclosure:
Yes
1 photos available.

Purchase this enhanced profile to view the photos.
Child Photo
Adult Photo



No Adult Photo Available



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:
5'10" (177.80 cm)
Weight:
140 lbs (63 kg)
Eye Color:
Blue
Hair Color:
Brown, Medium
Hair Texture:
Average
Hair Loss:
None
Hair Type:
Wavy
Body Build:
Small
Freckles:
 
Skin Tone:
Medium

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PROFILE for Only:
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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
Donor Health Information
Medication Allergy:
No
Food Allergy:
No
Pet Allergy:
No
Hay Fever Allergy:
Yes
Insect Allergy:
No
Vaccine Allergy:
No
Healthy Teeth:
Yes
Braces:
Yes
Back Problems:
No
Bronchitis:
No
Chicken Pox:
No
Chicken Pox Age:
No Chicken Pox
Vertigo:
No
Eyesight Correction:
No
Near or Far Sighted:
Nearsighted
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:
No
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:
Playing Guitar
Education Information

In School: Yes
In School Major: English

Training Type:

College Degrees:

Immediate Family Medical History
Family Member:
Brother
Hair Color:
Brown, Medium
Eyesight:
Good
 
 
Freckles:
Few
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
Right
Year of Birth:
1988
Cause of Death:
 
Hair Loss
 
Height:
5' 11'' (180.34 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
150 lbs. (68 kg)
Occupation:
student
Eye Color:
Blue
Half Siblings:
No
Education:
High School
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
Enjoys music and playing the guitar.
Family Member:
Brother
Hair Color:
Brown, Medium
Eyesight:
Excellent
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Medium
Dominant Hand:
 
Year of Birth:
1979
Cause of Death:
 
Hair Loss
 
Height:
5' 08'' (172.72 cm)
Age at Death:
 
Body Hair:
Straight
Weight:
135 lbs. (61 kg)
Occupation:
Laborer
Eye Color:
Blue
Half Siblings:
No
Education:
High School
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
Plays guitar.
Health Condition:
ADD or ADHD at age 15
Family Member:
Father
Hair Color:
Brown, Medium
Eyesight:
Excellent
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1950
Cause of Death:
 
Hair Loss
 
Height:
5' 07'' (170.18 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
150 lbs. (68 kg)
Occupation:
Horticulture
Eye Color:
Blue
Half Siblings:
No
Education:
College
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
 
Comments:
Enjoys camping and fishing.
Family Member:
Mother
Hair Color:
Blonde, Light
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Fair
Dominant Hand:
Right
Year of Birth:
1954
Cause of Death:
 
Hair Loss
 
Height:
5' 04'' (162.56 cm)
Age at Death:
 
Body Hair:
Straight
Weight:
138 lbs. (62 kg)
Occupation:
Dental Hygenist
Eye Color:
Brown
Half Siblings:
No
Education:
College
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
 
Comments:
Enjoys dance, especially ballet. Likes to write and draw.
Paternal Family Medical History
Family Member:
Grandfather
Hair Color:
Brown, Medium
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Deceased
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1911
Cause of Death:
Car Accident
Hair Loss
 
Height:
5' 10'' (177.80 cm)
Age at Death:
61
Body Hair:
Wavy
Weight:
180 lbs. (81 kg)
Occupation:
Horticulture
Eye Color:
Blue
Half Siblings:
No
Education:
High School
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
 
Comments:
Enjoyed carpentry, fishing, and hunting.
Family Member:
Grandmother
Hair Color:
Brown, Medium
Eyesight:
Fair
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1915
Cause of Death:
 
Hair Loss
 
Height:
5' 10'' (177.80 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
150 lbs. (68 kg)
Occupation:
Book keeper
Eye Color:
Blue
Half Siblings:
No
Education:
College
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
 
Comments:
Enjoys gardening.
Maternal Family Medical History
Family Member:
Aunt
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1959
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:
1963
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:
Blonde, Light
Eyesight:
Excellent
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Deceased
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1923
Cause of Death:
Heart Attack
Hair Loss
 
Height:
6' 02'' (187.96 cm)
Age at Death:
49
Body Hair:
Straight
Weight:
190 lbs. (86 kg)
Occupation:
Salesman
Eye Color:
Blue
Half Siblings:
No
Education:
College
Body Build:
Large
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
Had a pilot's license. Great sense of humor and great athlete.
Health Condition:
Heart Attack at age 49

Smoker
Family Member:
Grandmother
Hair Color:
Brown, Dark
Eyesight:
Excellent
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Fair
Dominant Hand:
Right
Year of Birth:
1926
Cause of Death:
 
Hair Loss
 
Height:
5' 01'' (154.94 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
110 lbs. (49 kg)
Occupation:
Medical Office personnel
Eye Color:
Brown
Half Siblings:
No
Education:
College (Some)
Body Build:
Small
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
 
Comments:
Enjoys sewing, quilting, and cooking. Very nurturing.
Family Member:
Uncle
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1952
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:
 
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        
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   Grandfather   X 49
Heart Disease     X        
High Blood Pressure     X        
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     15
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        
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        
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        
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