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Shannon,
Herceptin is only FDA approved for metastatic breast cancer, meaning it has spread to another place. This means that most insurance will not cover it unless you have mets. Recently, however studies show that getting herceptin before mets especially in combination with another drug is more effective. I would try to make sure I could get herceptin before leaving the trial. You might also try getting it directly from the company for compassionate use. I don't know if you started treatment yet, but if you haven't there are a lot of herceptin combination trials out there that look pretty good.
There are 2 places to get into the vaccine trial. That would be the University of Washington trial and the Windber trial in Penn(Also Walter Reed in DC if you have army benefits). There are links to both of those on this site. I know for a fact that the Windber trial will not take you if you have participated in another trial. I realize location might be an issue.
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