Donor 4624: Basic Donor Profile

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Pricing & Ordering Information

Purchase Bundle Options

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
  • Complimentary Highest Motility
8 Unit Purchase or more
  • 2 years of free storage
  • 2 year buy back at 50% of the original purchase cost, when stored at Xytex
  • Complimentary Highest Motility

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Unit Type Available for Donor #CGM4624 Price Per Unit
Washed $700
Unwashed $575

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:
4624
Year of Birth:
1980
Marital Status:
Single
Number of Children:
0
Religion:
Catholic
Occupation:
Dental Clerk
Blood Type:
A +
Ethnicity:
Portuguese
Race:
Caucasian
CMV Status:
POS
Last Medical History Update:
 
Reported Pregnancy:
Yes
Canadian Compliance:
Yes
UK Compliance:
No
Identity Disclosure:
No
Donor Photos:  Not available at this time.
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:
6'01" (185.42 cm)
Weight:
240 lbs (108 kg)
Eye Color:
Blue
Hair Color:
Blonde, Dark
Hair Texture:
 
Hair Loss:
None
Hair Type:
Curly
Body Build:
Large
Freckles:
 
Skin Tone:
Medium

Purchase Options
xySingle
Purchase this Enhanced
PROFILE for Only:
$65

xyStandard
Purchase Standard Unlimited
ACCESS for Only:
$165

Includes Access to All Enhanced Donor Profiles, and Child and Adult Photos
xyUltra
Purchase ULTRA Unlimited
ACCESS for Only:
$195

Includes Access to All Enhanced Donor Profiles, Donor Photos and Audio Files
*Audio files are only available for specific donors.
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:
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:
Farsighted
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:
Art, Reading, Working Out
Education Information

In School: No
In School Major: Unknown

Training Type:
Dental Office Administration

College Degrees:

Immediate Family Medical History
Family Member:
Father
Hair Color:
Black
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Olive
Dominant Hand:
Right
Year of Birth:
1954
Cause of Death:
 
Hair Loss
 
Height:
5' 08'' (172.72 cm)
Age at Death:
 
Body Hair:
Curly
Weight:
245 lbs. (111 kg)
Occupation:
Construction
Eye Color:
Brown
Half Siblings:
No
Education:
High School
Body Build:
Large
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
Enjoys carpentry, automobiles, films, nature and wild animals.
Family Member:
Mother
Hair Color:
Brown, Light
Eyesight:
Good
 
 
Freckles:
Few
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Fair
Dominant Hand:
Right
Year of Birth:
1957
Cause of Death:
 
Hair Loss
 
Height:
5' 05'' (165.10 cm)
Age at Death:
 
Body Hair:
Curly
Weight:
223 lbs. (101 kg)
Occupation:
Housewife
Eye Color:
Blue
Half Siblings:
No
Education:
High School
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
Enjoys knitting, cooking & gardening
Health Condition:
Allergies (Hay Fever)

Onset age - unknown
Family Member:
Sister
Hair Color:
Blonde, Medium
Eyesight:
Excellent
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Fair
Dominant Hand:
Right
Year of Birth:
1992
Cause of Death:
 
Hair Loss
 
Height:
4' 01'' (124.46 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
090 lbs. (40 kg)
Occupation:
Student
Eye Color:
Brown
Half Siblings:
No
Education:
 
Body Build:
Small
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
Enjoys reading, art, swimming and sports.
Paternal Family Medical History
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:
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:
1956
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:
Black
Eyesight:
Fair
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Fair
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1930
Cause of Death:
 
Hair Loss
 
Height:
5' 07'' (170.18 cm)
Age at Death:
 
Body Hair:
Curly
Weight:
260 lbs. (118 kg)
Occupation:
Retired Construction
Eye Color:
Brown
Half Siblings:
No
Education:
High School
Body Build:
Large
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
Enjoyed carpentry
Family Member:
Grandmother
Hair Color:
Brown, Dark
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Fair
Dominant Hand:
Right
Year of Birth:
1933
Cause of Death:
 
Hair Loss
 
Height:
5' 02'' (157.48 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
190 lbs. (86 kg)
Occupation:
Retired
Eye Color:
Brown
Half Siblings:
No
Education:
High School
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
Enjoys current events
Family Member:
Uncle
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1968
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:
 
Maternal Family Medical History
Family Member:
Aunt
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1954
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:
Black
Eyesight:
Excellent
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Fair
Dominant Hand:
Right
Year of Birth:
1924
Cause of Death:
 
Hair Loss
 
Height:
5' 10'' (177.80 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
220 lbs. (99 kg)
Occupation:
Retired
Eye Color:
Blue
Half Siblings:
No
Education:
High School
Body Build:
Large
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
Enjoys wine brewing and sports
Health Condition:
Cancer (Other) at age 78

Colon cancer, treated
Health Condition:
Diabetes (Non-Insulin Dependent)

Onset age unknown
Family Member:
Grandmother
Hair Color:
Black
Eyesight:
Fair
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Fair
Skin Tone:
Fair
Dominant Hand:
Right
Year of Birth:
1932
Cause of Death:
 
Hair Loss
 
Height:
5' 03'' (160.02 cm)
Age at Death:
 
Body Hair:
Curly
Weight:
190 lbs. (86 kg)
Occupation:
Retired
Eye Color:
Brown
Half Siblings:
No
Education:
High School
Body Build:
Large
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
 
Health Condition:
Diabetes (Non-Insulin Dependent) at age 69
Family Member:
Uncle
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Fair
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1961
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:
Uncle
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1970
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:
Uncle
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1964
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   Grandfather   X 78
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        
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   Grandmother   X 69
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        
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   Mother   X 0
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