I would guess we're too early to see much if the truly long term affects, if there are any. The data quality of VAERS is a joke, so anything sufficiently rare that has other normal causes will likely be hard to find.
As an anecdote, I had months of intermittent inflammation in the armpit and chest on the side I recieved the vaccines in. This had never happened with any other vaccines. The doctors had no explaination and ran multiple tests. It wasn't until the ultrasound tech mentioned the shots that it crossed my mind it could be them. No idea if I will have further issues, or if months of inflammation could lead to longer term issues.