Language English Join our Newsletter Stay current on topics of interest to transplant and CAR T-cell therapy recipients Please provide the information below to help us better serve you. BMT InfoNet guards your privacy. We do not share any personal information you provide us without your prior consent.  If you have any questions, email help@bmtinfonet.org or phone 888-597-7674. Select the group that best describes you. * Survivor/ Patient/ Family / Friend Transplant Center Staff Medical Personnel/ Not Transplant Staff Advocacy Organization - Staff Employee of Pharma/Med Supply Insurance Personnel Other Other Organizations - Staff Organizations - Area of Specialty If you selected other organization, are you part of a Library, Government, or Foundation? - None -Library-StaffGovernment-StaffFoundation-Staff First Name * Last Name * Degree Email * Your Birth Year Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Phone Number Country United StatesAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo, Republic Of TheCongo, The Democratic Republic of theCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch Part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Street Address Street Address Line 2 City State/Province * Organization and Title * If you are part of an organization please tell us the name of the organization and your position Phone Number (work) Country (work) United StatesAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo, Republic Of TheCongo, The Democratic Republic of theCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch Part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Street Address (work) * Street Address Line 2 (work) City (work) * State/Province (work) * Patient Info & Relationship What is your Relationship to Patient * - Select -Patient/SurvivorSpouse of Patient/SurvivorPartner of Patient/SurvivorParent of Patient/SurvivorChild of Patient/SurvivorSibling of Patient/SurvivorGrandparent of Patient/SurvivorOther Relative of Patient/SurvivorUnrelated Caregiver of SurvivorFriendOther Relationship Other Patient First Name * Patient Last Name * Patient's Birth Year Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Diagnosis Info Disease that to led cellular therapy * Start typing to use drop down. If not on list type OTHER DISEASEAcute Lymphoblastic Leukemia (ALL)Acute Mast CellAcute Myeloid/Myelogenous Leukemia (AML)Acquired Pure Red Cell AplasiaAdrenoleukodystrophy (ALD)AmyloidosisAtaxis TelangiectasisAutoimmune Hemolytic Anemia (AIHA)Autoimmune Lymphoproliferative Syndrome (ALP)Autoimmune Thrombocytopenic PurpuraBare Lymphocyte SyndromeBattens DiseaseBehcet's DiseaseBrain TumorBone-Marrow FailureBreast CancerBurkitt's LymphomaCastlemans DiseaseCd 40 Ligand DeficiencyCentral Nervous System MalignanciesChediak-Higashi SyndromeChronic Eosinophilic Leukemia (CEL)Chronic Granulomatous DiseaseChronic Inflammatory Demyelinating Polyneuropathy (CIDP)Chronic Lymphocytic Leukemia (CLL)Chronic Myeloid (Myelogenous) Leukemia (CML)Chronic Myelomonocytic Leukemia (CMML)Chronic Neutrophilic Leukemia (CNL)Colon CancerCongenital Amegakaryocytic Thrombocytopenia (CAMT)Cutaneous T-Cell Lymphoma (CTCL)Diamond-Blackfan AnemiaDevic's disease- Neuromyelitis optica (NMO)DiGeorge AnomalyDyskeratosis CongenitaEssential Thrombocythemia (ET)Evan's SyndromeEwing's SarcomaFanconi anemia (FA)Felty's SyndromeGauchers DiseaseGerm Cell TumorHairy Cell LeukemiaHistiocytosis, Hemophagocytic (HLH)Histiocytosis, Langerhans Cell (LCH)Hodgkin's Disease (HD)Hunter's DiseaseHurler's SyndromeHyper IgE SyndromeI-Cell diseaseIdiopathic Thrombocytopenic purpura (ITP)Immunodysregulation Polyendocrinopathy enteropathy X-linked Syndrome (IPEX)Juvenile Chronic Granulocytic (JCGL)Juvenile Myelomonocytic Leukemia (JMML)Kostmann's SyndromeKrabbe DiseaseLarge Granular Lymphocytic LeukemiaLesch-Nyhan diseaseLeukemiaLeukocyte Adhesion DeficiencyLight Chain Deposition DiseaseLung CancerLupus, SystemicMantle Cell Lymphoma (MCL)Maroteaux-Lamy SyndromeMelanomaMetachromatic LeukodystrophyMorquioMultiple MyelomaMultiple SclerosisMyelodysplastic Syndrome (MDS)Myelofibrosis (MF)Myeloproliferative Disorder/Neoplasms (MPD)(MPN)Natowicz SyndromeNeuroblastomaNiemann-Pick DiseaseNon-Hodgkin Lymphoma (NHL)Omenn SyndromeOsteogeneic SarcomaOsteopetrosisOvarian CancerParkinson's DiseaseParoxysmal Nocturnal Hemoglobinuria (PNH)Poems SyndromePolycythemia Vera (PV)PorphyriaPrimitive Neuroectodermal Tumor (PNET)Pure red cell aplasiaRenal Cell CancerRetinoblastomaRheumatoid Arthritis (RA)Sanfilippo SyndromeSchwachmann-Diamond SyndromeSclerodermaSevere aplastic anemiaSevere Combined Immunodeficiency Disease (SCID)Sickle Cell DiseaseSoft Tissue SarcomaTesticular CancerThalassemiaThymomaWaldenstrom's MacroglobulinemiaWilm's TumorWiskott-Aldrich SyndromeWolman DiseaseX-Linked AgammaglobulinemiaX-Linked Hyper IgM SyndromeX-Linked Lymphoproliferative Syndrome (XPL)Other Disease Disease Description If your disease was not listed above enter it here. What type of therapy did you/patient have or will have? * Transplant - bone marrow, stem cell or cord blood CAR T-Cell Therapy Unsure Transplant Info Number of Transplants Date of Most Recent Transplant (or planned transplant) * Please select the Month and Year of Transplant. If you do not remember the month select Jan. Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 What was the patient age at time of transplant Transplant Type * - Select -Autologous (using your own cells)Tandem AutologousAllogeneic (using donor cells)Syngeneic (using identical twin cells)Allogeneic after an AutologousUnknown Transplant Center - None -AL- Children's Hospital of AlabamaAL- Huntsville Hospital/Clearview Cancer InstituteAL- Providence HospitalAL- University of Alabama at BirminghamAR- Hembree Mercy Medical CenterAR- Impact Center of Little RockAR- Arkansas Children's HospitalAR- University of Arkansas for Medical Sciences/Myeloma Institute for Research & TherapyAZ- Arizona Oncology AssociatesAZ- Banner MD Anderson Cancer CenterAZ- City of Hope - Samaritan Unit ArizonaAZ- Mayo Clinic ArizonaAZ- Phoenix Children's HospitalAZ- Banner University Medical Center - Pediatric TransplantAZ- Banner University Medical Center/University of Arizona Cancer CenterAZ- Cancer Transplant HonorHealth/Virginia G. Piper Cancer Center/ScottsdaleCA- Alta Bates Medical CenterCA- Cancer & Blood Institute of the DesertCA- Cedars-Sinai Medical Center /Samuel Oschin Comprehensive Cancer InstituteCA- Children's Hospital & Research Center of OaklandCA- Children's Hospital of Los AngelesCA- CHOC Children's HospitalCA- City of Hope National Medical CenterCA- Glendale Comprehensive Cancer CenterCA- Hoag Cancer CenterCA- Kaiser Permanente/Los Angeles Medical CenterCA- Loma Linda University Children's HospitalCA- Loma Linda University Medical CenterCA- Pacific Presbyterian Medical CenterCA- Scripps MD Anderson Cancer Center Transplant & Cellular Therapy ProgramCA- St. Joseph HospitalCA- Stanford HealthcareCA- Lucile Packard Children's Hospital at StanfordCA- Sutter Medical Center/Sutter Cancer CenterCA- UC Davis Comprehensive Cancer CenterCA- UC Irvine Medical CenterCA- Ronald Reagan UCLA Medical Center/Jonsson Comprehensive Cancer CenterCA- Rady Children's Hospital/San DiegoCA- UC San Diego/Moores Cancer CenterCA- UC San Francisco Benioff Children's HospitalCA- UC San Francisco Medical Center/Helen Diller Family Comprehensive Cancer CenterCA- University of Southern California/ Norris Comprehensive Cancer CenterCA- West Valley Medical CenterCO- Children's Hospital ColoradoCO- Impact Center of Colorado SpringsCO- North Colorado Medical CenterCO- Colorado Blood Cancer Institute/Presbyterian St. Luke's Medical CenterCO- Rocky Mountain Cancer CentersCO- University of Colorado HospitalCT- Stamford Hospital /Bennett Cancer CenterCT- University of Connecticut Health Center/Carole and Ray Neag Comprehensive Cancer CenterCT- Western Connecticut Health Network/Danbury HospitalCT- Smilow Cancer Hospital at Yale New HavenDC- Children's National Medical CenterDC- George Washington University Medical CenterDC- MedStar Georgetown University Hospital/Lombardi Comprehensive Cancer CenterMD- Walter Reed National Military Medical CenterDC- Washington Cancer InstituteDE- Nemours/Alfred I du Pont Hospital for ChildrenDE- Christiana Care Health ServicesFL- Johns Hopkins All Children's HospitalFL- Miami Cancer Institute/ Baptist Health South FloridaFL- Bethesda Health CityFL- Blood and Marrow Transplant at AdventHealth Medical CenterFL- Good Samaritan Medical Center/Helen and Harry Gray Cancer InstituteFL- Halifax Medical Center/H D Kernan Oncology CenterFL- Impact Center of Boca RatonFL- Impact Center of ClearwaterFL- Impact Center of Coconut GroveFL- Impact Center of Dade CountyFL- Impact Center of PensacolaFL- Impact Center of South BrowardFL- Impact Center of St. PetersburgFL- Impact Center of TampaFL- Impact Center of Treasure CoastFL- Mayo Clinic FloridaFL- Nicklaus Children's HospitalFL- Moffitt Malignant Hem & Cellular Therapy at Memorial Healthcare SystemFL- Moffitt Cancer Center and Research InstituteFL- South Florida Bone Marrow Stem Cell InstituteFL- (Tamarac) University Hospital & Medical CenterFL- UF Health Shands HospitalFL- University of Miami/Jackson Memorial Hsopital/Holz Children's HospitalFL- University of Miami/Sylvester Comprehensive Cancer CenterFL-Nemours Children's Clinic/Wolfson Children's Hospital/GA- Children's Healthcare of Atlanta at Egleston/Aflac Cancer & Blood Disorders ClinicGA- Columbus Regional Health Care/John B Amos Cancer CenterGA- DeKalb Medical Center/Kann Outpatient Cancer CenterGA- Emory University Hospital/Winship Cancer CenterGA- Augusta University Health Inc.GA- Impact Center of Central GeorgiaGA- Impact Center of SavannahGA- BMT Program at Northside HospitalGA- Phoebe Cancer CenterHI- Hawaii Medical Center EastHI- Kapiolani Medical Center For Woman & ChildrenHI- The Queen's Medical CenterIA- University of Iowa Children's HospitalIA- University of Iowa Hospital & Clinics/Holden Comprehensive Cancer CenterID- St. Luke's Cancer InstituteIL- Advocate Bone Marrow Transplant and Cellular Therapy ProgramIL- Ann & Robert H Lurie Children's Hospital of Chicago (formerly Children's Memorial Hospital)IL- Cancer Treatment Centers of America/Midwestern Regional Medical CenterIL- Evanston Northwestern Hospital/Kellogg Cancer Care CenterIL- Hinsdale Hospital/Northwest Oncology & HematologyIL- Loyola University Medical Center/Cardinal Bernardin Cancer CenterIL- Memorial Medical CenterIL- Michael Reese Hospital & Medical CenterIL- Northwestern STem Cell Transplantation and Cell Therapy ProgramIL- Northwestern Memorial Hospital Division of Immunotherapy & Autoimmune DiseasesIL- Ravenswood Hospital Medical CenterIL- Rush University Medical CenterIL- St. John's HospitalIL- Unity Point Health MethodistIL- University of Chicago Medical CenterIL- University of Chicago Medical Center/Comer Children's HospitalIL- University of Illinois Hospital & Health Sciences SystemIL- Weiss Memorial HospitalIN- Central Indiana Cancer CenterIN- Indiana Blood and Marrow Transplantation/Franciscan HealthIN- Impact Center of Fort WayneIN- Riley Hospital for Children IU HealthIN- Indiana University Health University HospitalIN- Memorial Hospital of South BendIN- Rush-Munster Community HospitalIN- St. Vincent HospitalKS- Ascension Via Christi/St. Francis Hospital CampusKS- University of Kansas Cancer CenterKY- University of Kentucky-Markey Cancer CenterKY- University of Louisville Hospital/James Graham Brown Cancer CenterKY- University of Louisville/Norton Children's HospitalLA- Children's Hospital New Orleans/LSU Health Sciences CenterLA- Impact Center of LafayetteLA- Louisiana Children's Medical CenterLA- Louisiana State University Medical Center - New OrleansLA- Oscher LSU Health- ShreveportLA- Mary Bird Perkins Cancer CenterLA- Memorial Medical CenterLA- Ochsner Medical CenterLA- Our Lady of the Lake Regional Medical CenterLA- Terrebonne General Medical CenterLA- Tulane University Medical CenterMA- Beth Israel Deaconess Medical CenterMA- Boston Medical CenterMA- Dana-Farber Cancer Institute /Brigham & Women's HospitalMA- Dana-Farber Cancer Institute/Boston Children's HospitalMA- Lahey Hospital and Medical CenterMA- Massachusetts General HospitalMA- Tufts Medical CenterMA- UMass Memorial Medical CenterMD- Greater Baltimore Medical CenterMD- Holy Cross HospitalMD- Sidney Kimmel Cancer Center at Johns Hopkins University Medical Center/MD- National Institutes of Health Clinical Center/NAID/NCI/NHLBIMD- Sinai Hospital of Baltimore/Alvin and Lois Lapidus Cancer InstituteMD- University of Maryland Medical Center/Greenebaum Cancer CenterME- Impact Center of Bangor/Eastern Maine Medical CenterME- Maine Medical CenterME- Maine Medical Center/Maine Children's Cancer ProgramMI- Barbara Ann Karmanos Cancer Center/Wayne State UniversityMI- Cancer & Hematology Centers of Western MichiganMI- Children's Hospital of Michigan/KarmanosMI- Harper Hospital/Detroit Medical CenterMI- Helen DeVos Children's HospitalMI- Henry Ford Health System/Josephine Ford Cancer InstituteMI- Impact Center of Grand RapidsMI- Oakwood Healthcare SystemMI- Spectrum HealthMI- University of Michigan/C.S. Mott Children's HospitalMI- University of Michigan Comprehensive Cancer CenterMN- Abbott Northwestern Hospital/Virginia Piper Cancer InstituteMN- Mayo Clinic RochesterMN- Minnesota Oncology/Hematology P.A.MN- University of Minnesota Masonic Children's HospitalMN- University of Minnesota Medical Center, FairviewMO-Siteman Cancer Center at Barnes-Jewish Hospital & Washington UniversityMO- SSM Cardinal Glennon Children's HospitalMO- Children's Mercy Hospital & ClinicsMO- Impact Center of Central MissouriMO- Impact Center of Kansas CityMO- Impact Center of St. JosephMO- St. John's Mercy Medical CenterMO- St. Louis Children's HospitalMO- SSM Health St. Louis University HospitalMO- St. Luke's HospitalMS- Jackson Oncology AssociatesMS- University of Mississippi Medical CenterMT- Billings Clinic Cancer CenterMT- Montana Cancer SpecialistsNC- Duke University Adult Blood & Marrow Transplant ProgramNC- Duke University Children's HospitalNC- Impact Center of AshevilleNC- Impact Center of ColumbiaNC- Levine Cancer Institute/Atrium HealthNC- Levine Children's Hospital/Carolinas Medical CenterNC- Piedmont Hematology/Oncology AssociatesNC- Presbyterian Cancer CenterNC- Raleigh Hematology Oncology AssociatesNC- University Health Systems of Eastern CarolinaNC- University of North Carolina Hospitals/Lineberger Comprehensive Cancer CenterNC- Wake Forest University Baptist Medical CenterNE- Bergan Mercy HospitalNE- CHI Health Immanuel Medical Center/Alegent Creighton Health Cancer CenterNE- The Nebraska Medical Center/Fred & Pamela Buffett Cancer Center/Lied Transplant CenterNH- Dartmouth Hitchcock Medical Center /Mary Hitchcock Memorial Hospital/Norris Cotton Cancer CenterNJ- Hackensack University Medical Center/John Theurer Cancer CenterNJ- Impact Center of BayonneNJ- Medical Oncology Hematology Consultants PANJ- Morristown Memorial Hospital/Carol G. Simon Cancer CenterNJ- Riverview Regional Cancer CenterNJ- Rutgers Cancer Institute of New Jersey/Robert Wood Johnson University HospitalNJ- St. Joseph's Regional Medical CenterNM- Impact Center of AlbuquerqueNM- Presbyterian/New Mexico Cancer CenterNM- University of New MexicoNV- Comprehensive Cancer Centers of NevadaNV - Sarah Cannon Transplant and Cellular Therapy Program at MountainView HospitalNV- University of Nevada School of Medicine/Washoe Medical CenterNV- VA Medical Center - NevadaNY- Albany Medical Center/New York Oncology Hematology AssociatesNY- Brooklyn HospitalNY- Memorial Sloan Kettering Cancer Center/Adult Blood & Marrow Transplant ProgramNY- Memorial Sloan Kettering Cancer Center/Pediatric Blood & Marow Transplant ProgramNY- Montefiore Medical CenterNY- Mount Sinai Medical Center/Tisch Cancer InstituteNY- New York Hematology/Oncology Associates at Albany Medical CenterNY- New York-Presbyterian/Columbia University Medical CenterNY- New York-Presbyterian/Columbia University/Morgan Stanley Children's HospitalNY- New York Presbyterian/Weill Cornell Medical CenterNY- Northwelll Health at North Shore University HospitalNY- Cohen Children's Medical CenterNY- Northwell Health at North Shore UniversityNY- NYU Langone Medical Center/Rita J. and Stanley H. Kaplan Stem Cell/Bone Marrow Transplant CenterNY- NYU Langone Medical Center/Hassenfeld Children's HospitalNY- Roswell Park Cancer InstituteNY- State University of New York at BrooklynNY- St. Vincent Hospital and Medical CenterNY- Stony Brook University Hospital/Stony Brook Cancer CenterNY- Suny Upstate Medical UniversityNY- Strong Memorial Hospital/University of Rochester Medical CenterNY- Westchester Medical Center/Zalmen A. Arlin Cancer InstituteOH- Akron Children's HospitalOH- Cincinnati Children's Hospital Medical CenterOH- Cleveland Clinic/Taussig Cancer InstituteOH- Impact Center of YoungstownOH- Cincinnati Cancer and Cellular Therapy - Jewish HospitalOH- Nationwide Childrens HospitalOH- Miami Valley HospitalOH- Ohio State University/Arthur James Cancer Hospital & Research InstituteOH- St. Vincent Mercy Medical Center/Northwest Ohio Stem Cell Transplant ProgramOH- University of Cincinnati Medical CenterOH- University Hospitals/Seidman Cancer CenterOH- University Hospitals/Rainbow Babies and Children's HospitalOK- Cancer Care Associates - Eastern OklahomaOK- Cancer Care Associates - Western OklahomaOK- Cancer Treatment Centers of AmericaOK- Oklahoma University Medical CenterOK- Oklahoma University Medical Center Children's HospitalOK- St. Francis Hospital/Natalie Warner Bryant Cancer CenterOR- Legacy Good Samaritan HospitalOR- Oregon Health & Science University/Doernbecher Children's HospitalOR- Oregon Health and Science University/Knight Cancer InstituteOR- Providence Portland Medical CenterPA- Cancer Treatment Centers of America/Eastern Regional Medical CenterPA- Children's Hospital of PhiladelphiaPA- Children's Hospital of Pittsburgh/Univeristy of Pittsburgh Medical CenterPA- Delaware County Memorial HospitalPA- Geisinger Medical CenterPA- Hahnemann University HospitalPA- Impact Center of AbingtonPA- Impact Center of Lehigh ValleyPA- Impact Center of HarrisburgPA- Mercy HospitalPA- Penn State Milton S. Hershey Medical CenterPA- Physician Oncology Specialists, Inc.PA- St Christopher's Hospital for ChildrenPA- Temple Fox Chase Cancer Center/Jeanes HospitalPA- Thomas Jefferson University Hospital/Jefferson Kimmel Cancer CenterPA- University of Pennsylvania Medical Center/Abramson Cancer CenterPA- University of Pittsburgh/Hillman Cancer CenterPA- Allegheny Health Network Cancer Institute/West Penn HospitalPR- San Jorge Children's HospitalRI- Roger Williams Medical Center/Adele R. Decof Cancer CenterSC- Prisma Health/Cancer Institute of Greenville Health SystemSC-Roper St. Francis HospitalSC- Impact Center of ColumbiaSC- Medical University of South Carolina/Hollings Cancer CenterSC- Palmetto Hematology Oncology PC/Spartanburg Regional Medical CenterSC- Palmetto Richland Memorial HospitalSC- Bon Secours St. Francis Hospital/Louis P. Batson Jr. Cancer CenterSD- Avera Transplant InstituteTN- Baptist Cancer Center Malignant Hematology & Transplant ProgramTN- Impact Center of KnoxvilleTN- Impact Center of MemphisTN- Impact Center of Middle TennesseeTN- Impact Center of Tri-CitiesTN- St. Jude Children's Research HospitalTN- Thompson Cancer Survival CenterTN- Tristar Centennial Medical Center/Sarah Cannon Center for Blood CancerTN- Methodist Healthcare/ University of TennesseeTN- Vanderfilt University VA HospitalTN- Vanderbilt University/Monroe Carell Jr. Children's HospitalTX- Covenant Health System/ Joe Arrington Cancer CenterTN- Vanderbilt University Medical Center/Ingram Cancer CenterTX- Baylor University Medical Center/Charles A. Sammons Cancer CenterTX- Brook Army Medical CenterTX- Children's Medical Center DallasTX- Christus Santa Rosa Children's HospitalTX- Cook Children's Medical CenterTX- Corpus Christi Cancer CenterTX- Covenant Health System Hematopoietic Transplant ProgramTX- Harrington Cancer CenterTX- El Paso Cancer Treatment CenterTX- Harris Methodist Fort Worth Medical CenterTX- Impact Center of HoustonTX- Methodist Children's HospitalTX- Medical City Dallas HospitalTX- /Baylor College of Medicine Center for Cell and Gene TherapyTX- Sarah Cannon Transplant and Cellular Therapy Program at Methodist HospitalTX- Scott & White Memorial HospitalTX- Southwest Regional Cancer Center/Austin Transplant ProgramTX- Texas Children's Hospital/Baylor College of MedicineTX- Texas Tech University Medical Center/UMC Southwest Cancer CenterTX - Sarah Cannon Transplant and Cellular Therpay at St. David's South Austin Medical CenterTX- UT Health Science Center at San AntonioTX- UT MD Anderson Cancer CenterTX- UT Medical Branch GalvestonTX- UT Southwestern/Simmons Cancer CenterTX- Wilford Hall Medical CenterUT- LDS Hospital/Intermountain Blood & Marrow Transplant ProgramUT- University of Utah Medical Center/Huntsman Cancer CenterUT- University of Utah/Primary Children's HospitalVA- Impact Center of Central VirginiaVA- INOVA Fairfax HospitalVA- University of Virginia/Emily Couric Clinical Cancer CenterVA- Virginia Commonwealth University/Massey Cancer CenterVA- Virginia Oncology Associates - Newport NewsVA- Virginia Oncology Associates - NorfolkVT- University of Vermont/Fletcher Allen Healthcare/Vermont Cancer CenterWA- Cancer Care NorthwestWA- Fred Hutchinson Cancer Research Center/Seattle Cancer Care AllianceWA- Multi Care Regional Medical CenterWA- Seattle Children's Hospital/Seattle Cancer Care AllianceWA- St. Joseph Medical CenterWA- University of Washington Medical Center/Seattle Cancer Care AllianceWA- VA Puget Sound Health Care SystemWA- Virginia Mason Medical CenterWI- Aurora St. Luke's Medical CenterWI- Children's Hospital of WisconsinWI- Marshfield Clinic/St. Joseph's HospitalWI- Medical College of Wisconsin/Froedert HospitalWI- University of Wisconsin/Carbone Cancer CenterWI- Waukesha Memorial HospitalWV- West Virginia University/Ruby Memorial Hospital/Mary Babb Randolph Cancer CenterAB- Alberta Children's HospitalAB- Cross Cancer InstituteAB- Alberta Blood & Marrow Transplant at Foothills Medical CentreBC- British Columbia's Children's HospitalBC- Vancouver General Hospital/Gordon and Leslie Diamond Health Care CentreMB- CancerCare ManitobaNL- St. John's Health Science CenterNS- Queen Elizabeth II Health Sciences Center/BMT Program of the AtlanticON- Hamilton Health Sciences/Juravinski HospitalON- London Health Sciences CentreON- Ontario Cancer Institute/Princess Margaret HospitalON- Ottawa HospitalON- Queen's University/Kingston General HospitalON- Sudbury Regional Hospital/Sudbury Regional Cancer ProgramON- The Hospital for Sick ChildrenQC- Hospital Enfant-JesusQC- Hospital Sainte-JustineQC- Hotel-Dieu de Quebec HospitalQC- Maisonneuve-RosemontQC- Montreal Children's HospitalQC- Montreal General HospitalQC- McGill University Health Centre/Royal Victoria HospitalQC- The Sir Mortimore B. Davis Jewish General HospitalPUE- Centro de Hematologia y Medicina Interna de PueblaUW Health American Family Children's HospitlaLondon - Great Osmond Street HospitalUnknownOther Transplant Center Name If you do not see your center listed above. Please type in the name of the center Notes about Previous Transplants Current Health Status Current Health Status Please share any information on survivor's current health status Did you have Graft-versus-Host Disease (GVHD)? - None -YesNo Do you currently have Graft-versus-Host Disease (GVHD) - None -YesNo The Severity of GVHD - None -MildModerateSevere GVHD Organs Select all organs GVHD is or has affected. Skin Nails Eyes Mouth Throat GI Tract/Stomach Muscles Joints/Fascia Genitalia Liver Lungs Nervous System CAR T-Cell Therapy Year of CAR T-Cell Therapy Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Patient Age at time of CAR T-Cell Therapy Source of CAR T-Cells - None -CAR T-cell Auto (using own t-cells) CAR T-Cell Product - None -BreyanziCarvykti (Ciltacabtegene autoleucel)Ide-cel/AbecmaKymriahTecartus®YescartaOther type of CAR-T TherapyUnknown Other Type of CAR T-Cell Therapy Name of Hospital where you received CAR T-Cell Therapy - None -AL- Children's Hospital of AlabamaAL- Huntsville Hospital/Clearview Cancer InstituteAL- Providence HospitalAL- University of Alabama at BirminghamAR- Hembree Mercy Medical CenterAR- Impact Center of Little RockAR- Arkansas Children's HospitalAR- University of Arkansas for Medical Sciences/Myeloma Institute for Research & TherapyAZ- Arizona Oncology AssociatesAZ- Banner MD Anderson Cancer CenterAZ- City of Hope - Samaritan Unit ArizonaAZ- Mayo Clinic ArizonaAZ- Phoenix Children's HospitalAZ- Banner University Medical Center - Pediatric TransplantAZ- Banner University Medical Center/University of Arizona Cancer CenterAZ- Cancer Transplant HonorHealth/Virginia G. Piper Cancer Center/ScottsdaleCA- Alta Bates Medical CenterCA- Cancer & Blood Institute of the DesertCA- Cedars-Sinai Medical Center /Samuel Oschin Comprehensive Cancer InstituteCA- Children's Hospital & Research Center of OaklandCA- Children's Hospital of Los AngelesCA- CHOC Children's HospitalCA- City of Hope National Medical CenterCA- Glendale Comprehensive Cancer CenterCA- Hoag Cancer CenterCA- Kaiser Permanente/Los Angeles Medical CenterCA- Loma Linda University Children's HospitalCA- Loma Linda University Medical CenterCA- Pacific Presbyterian Medical CenterCA- Scripps MD Anderson Cancer Center Transplant & Cellular Therapy ProgramCA- St. Joseph HospitalCA- Stanford HealthcareCA- Lucile Packard Children's Hospital at StanfordCA- Sutter Medical Center/Sutter Cancer CenterCA- UC Davis Comprehensive Cancer CenterCA- UC Irvine Medical CenterCA- Ronald Reagan UCLA Medical Center/Jonsson Comprehensive Cancer CenterCA- Rady Children's Hospital/San DiegoCA- UC San Diego/Moores Cancer CenterCA- UC San Francisco Benioff Children's HospitalCA- UC San Francisco Medical Center/Helen Diller Family Comprehensive Cancer CenterCA- University of Southern California/ Norris Comprehensive Cancer CenterCA- West Valley Medical CenterCO- Children's Hospital ColoradoCO- Impact Center of Colorado SpringsCO- North Colorado Medical CenterCO- Colorado Blood Cancer Institute/Presbyterian St. Luke's Medical CenterCO- Rocky Mountain Cancer CentersCO- University of Colorado HospitalCT- Stamford Hospital /Bennett Cancer CenterCT- University of Connecticut Health Center/Carole and Ray Neag Comprehensive Cancer CenterCT- Western Connecticut Health Network/Danbury HospitalCT- Smilow Cancer Hospital at Yale New HavenDC- Children's National Medical CenterDC- George Washington University Medical CenterDC- MedStar Georgetown University Hospital/Lombardi Comprehensive Cancer CenterMD- Walter Reed National Military Medical CenterDC- Washington Cancer InstituteDE- Nemours/Alfred I du Pont Hospital for ChildrenDE- Christiana Care Health ServicesFL- Johns Hopkins All Children's HospitalFL- Miami Cancer Institute/ Baptist Health South FloridaFL- Bethesda Health CityFL- Blood and Marrow Transplant at AdventHealth Medical CenterFL- Good Samaritan Medical Center/Helen and Harry Gray Cancer InstituteFL- Halifax Medical Center/H D Kernan Oncology CenterFL- Impact Center of Boca RatonFL- Impact Center of ClearwaterFL- Impact Center of Coconut GroveFL- Impact Center of Dade CountyFL- Impact Center of PensacolaFL- Impact Center of South BrowardFL- Impact Center of St. PetersburgFL- Impact Center of TampaFL- Impact Center of Treasure CoastFL- Mayo Clinic FloridaFL- Nicklaus Children's HospitalFL- Moffitt Malignant Hem & Cellular Therapy at Memorial Healthcare SystemFL- Moffitt Cancer Center and Research InstituteFL- South Florida Bone Marrow Stem Cell InstituteFL- (Tamarac) University Hospital & Medical CenterFL- UF Health Shands HospitalFL- University of Miami/Jackson Memorial Hsopital/Holz Children's HospitalFL- University of Miami/Sylvester Comprehensive Cancer CenterFL-Nemours Children's Clinic/Wolfson Children's Hospital/GA- Children's Healthcare of Atlanta at Egleston/Aflac Cancer & Blood Disorders ClinicGA- Columbus Regional Health Care/John B Amos Cancer CenterGA- DeKalb Medical Center/Kann Outpatient Cancer CenterGA- Emory University Hospital/Winship Cancer CenterGA- Augusta University Health Inc.GA- Impact Center of Central GeorgiaGA- Impact Center of SavannahGA- BMT Program at Northside HospitalGA- Phoebe Cancer CenterHI- Hawaii Medical Center EastHI- Kapiolani Medical Center For Woman & ChildrenHI- The Queen's Medical CenterIA- University of Iowa Children's HospitalIA- University of Iowa Hospital & Clinics/Holden Comprehensive Cancer CenterID- St. Luke's Cancer InstituteIL- Advocate Bone Marrow Transplant and Cellular Therapy ProgramIL- Ann & Robert H Lurie Children's Hospital of Chicago (formerly Children's Memorial Hospital)IL- Cancer Treatment Centers of America/Midwestern Regional Medical CenterIL- Evanston Northwestern Hospital/Kellogg Cancer Care CenterIL- Hinsdale Hospital/Northwest Oncology & HematologyIL- Loyola University Medical Center/Cardinal Bernardin Cancer CenterIL- Memorial Medical CenterIL- Michael Reese Hospital & Medical CenterIL- Northwestern STem Cell Transplantation and Cell Therapy ProgramIL- Northwestern Memorial Hospital Division of Immunotherapy & Autoimmune DiseasesIL- Ravenswood Hospital Medical CenterIL- Rush University Medical CenterIL- St. John's HospitalIL- Unity Point Health MethodistIL- University of Chicago Medical CenterIL- University of Chicago Medical Center/Comer Children's HospitalIL- University of Illinois Hospital & Health Sciences SystemIL- Weiss Memorial HospitalIN- Central Indiana Cancer CenterIN- Indiana Blood and Marrow Transplantation/Franciscan HealthIN- Impact Center of Fort WayneIN- Riley Hospital for Children IU HealthIN- Indiana University Health University HospitalIN- Memorial Hospital of South BendIN- Rush-Munster Community HospitalIN- St. Vincent HospitalKS- Ascension Via Christi/St. Francis Hospital CampusKS- University of Kansas Cancer CenterKY- University of Kentucky-Markey Cancer CenterKY- University of Louisville Hospital/James Graham Brown Cancer CenterKY- University of Louisville/Norton Children's HospitalLA- Children's Hospital New Orleans/LSU Health Sciences CenterLA- Impact Center of LafayetteLA- Louisiana Children's Medical CenterLA- Louisiana State University Medical Center - New OrleansLA- Oscher LSU Health- ShreveportLA- Mary Bird Perkins Cancer CenterLA- Memorial Medical CenterLA- Ochsner Medical CenterLA- Our Lady of the Lake Regional Medical CenterLA- Terrebonne General Medical CenterLA- Tulane University Medical CenterMA- Beth Israel Deaconess Medical CenterMA- Boston Medical CenterMA- Dana-Farber Cancer Institute /Brigham & Women's HospitalMA- Dana-Farber Cancer Institute/Boston Children's HospitalMA- Lahey Hospital and Medical CenterMA- Massachusetts General HospitalMA- Tufts Medical CenterMA- UMass Memorial Medical CenterMD- Greater Baltimore Medical CenterMD- Holy Cross HospitalMD- Sidney Kimmel Cancer Center at Johns Hopkins University Medical Center/MD- National Institutes of Health Clinical Center/NAID/NCI/NHLBIMD- Sinai Hospital of Baltimore/Alvin and Lois Lapidus Cancer InstituteMD- University of Maryland Medical Center/Greenebaum Cancer CenterME- Impact Center of Bangor/Eastern Maine Medical CenterME- Maine Medical CenterME- Maine Medical Center/Maine Children's Cancer ProgramMI- Barbara Ann Karmanos Cancer Center/Wayne State UniversityMI- Cancer & Hematology Centers of Western MichiganMI- Children's Hospital of Michigan/KarmanosMI- Harper Hospital/Detroit Medical CenterMI- Helen DeVos Children's HospitalMI- Henry Ford Health System/Josephine Ford Cancer InstituteMI- Impact Center of Grand RapidsMI- Oakwood Healthcare SystemMI- Spectrum HealthMI- University of Michigan/C.S. Mott Children's HospitalMI- University of Michigan Comprehensive Cancer CenterMN- Abbott Northwestern Hospital/Virginia Piper Cancer InstituteMN- Mayo Clinic RochesterMN- Minnesota Oncology/Hematology P.A.MN- University of Minnesota Masonic Children's HospitalMN- University of Minnesota Medical Center, FairviewMO-Siteman Cancer Center at Barnes-Jewish Hospital & Washington UniversityMO- SSM Cardinal Glennon Children's HospitalMO- Children's Mercy Hospital & ClinicsMO- Impact Center of Central MissouriMO- Impact Center of Kansas CityMO- Impact Center of St. JosephMO- St. John's Mercy Medical CenterMO- St. Louis Children's HospitalMO- SSM Health St. Louis University HospitalMO- St. Luke's HospitalMS- Jackson Oncology AssociatesMS- University of Mississippi Medical CenterMT- Billings Clinic Cancer CenterMT- Montana Cancer SpecialistsNC- Duke University Adult Blood & Marrow Transplant ProgramNC- Duke University Children's HospitalNC- Impact Center of AshevilleNC- Impact Center of ColumbiaNC- Levine Cancer Institute/Atrium HealthNC- Levine Children's Hospital/Carolinas Medical CenterNC- Piedmont Hematology/Oncology AssociatesNC- Presbyterian Cancer CenterNC- Raleigh Hematology Oncology AssociatesNC- University Health Systems of Eastern CarolinaNC- University of North Carolina Hospitals/Lineberger Comprehensive Cancer CenterNC- Wake Forest University Baptist Medical CenterNE- Bergan Mercy HospitalNE- CHI Health Immanuel Medical Center/Alegent Creighton Health Cancer CenterNE- The Nebraska Medical Center/Fred & Pamela Buffett Cancer Center/Lied Transplant CenterNH- Dartmouth Hitchcock Medical Center /Mary Hitchcock Memorial Hospital/Norris Cotton Cancer CenterNJ- Hackensack University Medical Center/John Theurer Cancer CenterNJ- Impact Center of BayonneNJ- Medical Oncology Hematology Consultants PANJ- Morristown Memorial Hospital/Carol G. Simon Cancer CenterNJ- Riverview Regional Cancer CenterNJ- Rutgers Cancer Institute of New Jersey/Robert Wood Johnson University HospitalNJ- St. Joseph's Regional Medical CenterNM- Impact Center of AlbuquerqueNM- Presbyterian/New Mexico Cancer CenterNM- University of New MexicoNV- Comprehensive Cancer Centers of NevadaNV - Sarah Cannon Transplant and Cellular Therapy Program at MountainView HospitalNV- University of Nevada School of Medicine/Washoe Medical CenterNV- VA Medical Center - NevadaNY- Albany Medical Center/New York Oncology Hematology AssociatesNY- Brooklyn HospitalNY- Memorial Sloan Kettering Cancer Center/Adult Blood & Marrow Transplant ProgramNY- Memorial Sloan Kettering Cancer Center/Pediatric Blood & Marow Transplant ProgramNY- Montefiore Medical CenterNY- Mount Sinai Medical Center/Tisch Cancer InstituteNY- New York Hematology/Oncology Associates at Albany Medical CenterNY- New York-Presbyterian/Columbia University Medical CenterNY- New York-Presbyterian/Columbia University/Morgan Stanley Children's HospitalNY- New York Presbyterian/Weill Cornell Medical CenterNY- Northwelll Health at North Shore University HospitalNY- Cohen Children's Medical CenterNY- Northwell Health at North Shore UniversityNY- NYU Langone Medical Center/Rita J. and Stanley H. Kaplan Stem Cell/Bone Marrow Transplant CenterNY- NYU Langone Medical Center/Hassenfeld Children's HospitalNY- Roswell Park Cancer InstituteNY- State University of New York at BrooklynNY- St. Vincent Hospital and Medical CenterNY- Stony Brook University Hospital/Stony Brook Cancer CenterNY- Suny Upstate Medical UniversityNY- Strong Memorial Hospital/University of Rochester Medical CenterNY- Westchester Medical Center/Zalmen A. Arlin Cancer InstituteOH- Akron Children's HospitalOH- Cincinnati Children's Hospital Medical CenterOH- Cleveland Clinic/Taussig Cancer InstituteOH- Impact Center of YoungstownOH- Cincinnati Cancer and Cellular Therapy - Jewish HospitalOH- Nationwide Childrens HospitalOH- Miami Valley HospitalOH- Ohio State University/Arthur James Cancer Hospital & Research InstituteOH- St. Vincent Mercy Medical Center/Northwest Ohio Stem Cell Transplant ProgramOH- University of Cincinnati Medical CenterOH- University Hospitals/Seidman Cancer CenterOH- University Hospitals/Rainbow Babies and Children's HospitalOK- Cancer Care Associates - Eastern OklahomaOK- Cancer Care Associates - Western OklahomaOK- Cancer Treatment Centers of AmericaOK- Oklahoma University Medical CenterOK- Oklahoma University Medical Center Children's HospitalOK- St. Francis Hospital/Natalie Warner Bryant Cancer CenterOR- Legacy Good Samaritan HospitalOR- Oregon Health & Science University/Doernbecher Children's HospitalOR- Oregon Health and Science University/Knight Cancer InstituteOR- Providence Portland Medical CenterPA- Cancer Treatment Centers of America/Eastern Regional Medical CenterPA- Children's Hospital of PhiladelphiaPA- Children's Hospital of Pittsburgh/Univeristy of Pittsburgh Medical CenterPA- Delaware County Memorial HospitalPA- Geisinger Medical CenterPA- Hahnemann University HospitalPA- Impact Center of AbingtonPA- Impact Center of Lehigh ValleyPA- Impact Center of HarrisburgPA- Mercy HospitalPA- Penn State Milton S. Hershey Medical CenterPA- Physician Oncology Specialists, Inc.PA- St Christopher's Hospital for ChildrenPA- Temple Fox Chase Cancer Center/Jeanes HospitalPA- Thomas Jefferson University Hospital/Jefferson Kimmel Cancer CenterPA- University of Pennsylvania Medical Center/Abramson Cancer CenterPA- University of Pittsburgh/Hillman Cancer CenterPA- Allegheny Health Network Cancer Institute/West Penn HospitalPR- San Jorge Children's HospitalRI- Roger Williams Medical Center/Adele R. Decof Cancer CenterSC- Prisma Health/Cancer Institute of Greenville Health SystemSC-Roper St. Francis HospitalSC- Impact Center of ColumbiaSC- Medical University of South Carolina/Hollings Cancer CenterSC- Palmetto Hematology Oncology PC/Spartanburg Regional Medical CenterSC- Palmetto Richland Memorial HospitalSC- Bon Secours St. Francis Hospital/Louis P. Batson Jr. Cancer CenterSD- Avera Transplant InstituteTN- Baptist Cancer Center Malignant Hematology & Transplant ProgramTN- Impact Center of KnoxvilleTN- Impact Center of MemphisTN- Impact Center of Middle TennesseeTN- Impact Center of Tri-CitiesTN- St. Jude Children's Research HospitalTN- Thompson Cancer Survival CenterTN- Tristar Centennial Medical Center/Sarah Cannon Center for Blood CancerTN- Methodist Healthcare/ University of TennesseeTN- Vanderfilt University VA HospitalTN- Vanderbilt University/Monroe Carell Jr. Children's HospitalTX- Covenant Health System/ Joe Arrington Cancer CenterTN- Vanderbilt University Medical Center/Ingram Cancer CenterTX- Baylor University Medical Center/Charles A. Sammons Cancer CenterTX- Brook Army Medical CenterTX- Children's Medical Center DallasTX- Christus Santa Rosa Children's HospitalTX- Cook Children's Medical CenterTX- Corpus Christi Cancer CenterTX- Covenant Health System Hematopoietic Transplant ProgramTX- Harrington Cancer CenterTX- El Paso Cancer Treatment CenterTX- Harris Methodist Fort Worth Medical CenterTX- Impact Center of HoustonTX- Methodist Children's HospitalTX- Medical City Dallas HospitalTX- /Baylor College of Medicine Center for Cell and Gene TherapyTX- Sarah Cannon Transplant and Cellular Therapy Program at Methodist HospitalTX- Scott & White Memorial HospitalTX- Southwest Regional Cancer Center/Austin Transplant ProgramTX- Texas Children's Hospital/Baylor College of MedicineTX- Texas Tech University Medical Center/UMC Southwest Cancer CenterTX - Sarah Cannon Transplant and Cellular Therpay at St. David's South Austin Medical CenterTX- UT Health Science Center at San AntonioTX- UT MD Anderson Cancer CenterTX- UT Medical Branch GalvestonTX- UT Southwestern/Simmons Cancer CenterTX- Wilford Hall Medical CenterUT- LDS Hospital/Intermountain Blood & Marrow Transplant ProgramUT- University of Utah Medical Center/Huntsman Cancer CenterUT- University of Utah/Primary Children's HospitalVA- Impact Center of Central VirginiaVA- INOVA Fairfax HospitalVA- University of Virginia/Emily Couric Clinical Cancer CenterVA- Virginia Commonwealth University/Massey Cancer CenterVA- Virginia Oncology Associates - Newport NewsVA- Virginia Oncology Associates - NorfolkVT- University of Vermont/Fletcher Allen Healthcare/Vermont Cancer CenterWA- Cancer Care NorthwestWA- Fred Hutchinson Cancer Research Center/Seattle Cancer Care AllianceWA- Multi Care Regional Medical CenterWA- Seattle Children's Hospital/Seattle Cancer Care AllianceWA- St. Joseph Medical CenterWA- University of Washington Medical Center/Seattle Cancer Care AllianceWA- VA Puget Sound Health Care SystemWA- Virginia Mason Medical CenterWI- Aurora St. Luke's Medical CenterWI- Children's Hospital of WisconsinWI- Marshfield Clinic/St. Joseph's HospitalWI- Medical College of Wisconsin/Froedert HospitalWI- University of Wisconsin/Carbone Cancer CenterWI- Waukesha Memorial HospitalWV- West Virginia University/Ruby Memorial Hospital/Mary Babb Randolph Cancer CenterAB- Alberta Children's HospitalAB- Cross Cancer InstituteAB- Alberta Blood & Marrow Transplant at Foothills Medical CentreBC- British Columbia's Children's HospitalBC- Vancouver General Hospital/Gordon and Leslie Diamond Health Care CentreMB- CancerCare ManitobaNL- St. John's Health Science CenterNS- Queen Elizabeth II Health Sciences Center/BMT Program of the AtlanticON- Hamilton Health Sciences/Juravinski HospitalON- London Health Sciences CentreON- Ontario Cancer Institute/Princess Margaret HospitalON- Ottawa HospitalON- Queen's University/Kingston General HospitalON- Sudbury Regional Hospital/Sudbury Regional Cancer ProgramON- The Hospital for Sick ChildrenQC- Hospital Enfant-JesusQC- Hospital Sainte-JustineQC- Hotel-Dieu de Quebec HospitalQC- Maisonneuve-RosemontQC- Montreal Children's HospitalQC- Montreal General HospitalQC- McGill University Health Centre/Royal Victoria HospitalQC- The Sir Mortimore B. Davis Jewish General HospitalPUE- Centro de Hematologia y Medicina Interna de PueblaUW Health American Family Children's HospitlaLondon - Great Osmond Street HospitalUnknownOther Was CAR T part of a clinical trial Yes No Other Information on CAR T-Cell Therapy Did you have Cytokine Release Syndrome (CRS) Yes No Don't Know What symptoms of CRS did you experience Breathing difficulties (CRS) Chills (CRS) Fast or irregular heartbeat (CRS) High fever (CRS) Lightheadedness (CRS) Loss of appetite (CRS) Low blood pressure (CRS) Low oxygen level (CRS) Low White Blood Cell count (CRS) Severe muscle or joint pain (CRS) Severe nausea, diarrhea or vomiting (CRS) Significant fatigue (CRS) Swelling or fluid retention (CRS) Did you have ICANS/Neurological Yes No Don't Know What symptoms of ICAN/Neurological did you experience Severe headaches (ICANS) Difficulty speaking, slurred words, stuttering (ICANS) Confusion, delirium (ICANS) Increased Anxiety (ICANS) Difficulty staying awake (ICANS) Difficulty paying attention (ICANS) Loss of coordination (ICANS) Weakness/Shakiness (ICANS) Changes in handwriting (ICANS) Seizures (ICANS) Brain swelling (ICANS) Memory loss (ICANS) Hallucinations (ICANS) Dizziness (ICANS) Describe other Health Issues after CAR T-Cell Therapy - Collection Form Transplant Center Staff Information What is your position(s) at the transplant center * Transplant Program Director Transplant Medical Director Transplant Physician Transplant Physician Assistant Transplant Nurse Practitioner Transplant Coordinator Transplant Nurse Transplant Psychologist Transplant Social Worker Transplant Survivorship Program Coordinator Transplant Pharmacist Transplant Dietitian Transplant Program Administrator Other Position Other Department Leave this field blank Submit