Thanks for your post. I am at about the same point post transplant as you are. I had some acute gvhd but my worst has been chronic eye and vaginal. I am using autologous serum tears for the eyes with decent results but I have a steroid induced cataract that is really impacting my vision. The vaginal is something they never warned me about. I will just leave it at this: I look like a 2 year old now. I am on .5 and 1.0 sirolimus every other day and just this week had my first covid vaccine. I think that I’ve started flaring—especially in my eyes. I’m determined not to go back on prednisone. I really struggle with fatigue and am still not able to work.