One thing to keep in mind about how these vaults work, is you often unlock them and then they stay unlocked for a short period of time, like 5 minutes. So if you do compromise a system and can detect when it is unlocked, you have a decent window to programmatically extract credentials.
That said, it requires that your system has already been completely owned, pretty much. At that point, it could potentially log keystrokes and clipboard, and get credentials, including your master password.
Physical therapy if you have any physical issues at all, massage therapy if you have any chronic pain, occupational therapy if you have specific life skills or mobility needs.
Any preventative screening or vaccines. There are various generic cancer screenings, etc. Get a referral to a dermatologist to do a once over your skin and document any spots of concern.