COVID19 is also a vascular disease. The spikes can cause small holes in micro vessels that ‘leak’ blood clots. The mRNA happily directs vaccine victims to create even more spikes.
The cases started appearing in 2018 (pre-Covid), so acquiring the disease wouldn’t have anything to do with masks or vaccines.
The S protein has binding sites that bind to specific cell receptors (ACE2) to enable cell entry. Has nothing to do with ripping holes in things. The end of it is actually more rounded overall, but that's just a generalized shape caused by the specifics of protein folding.
Moderna and Phizer come with only so many spiker replications.
The JnJ/Astra send the blueprints in riding on a (in a) adenovirus to invade cells and take up residency. God help those folks if the viri there change. What could possibly go wrong, go wrong, go wrong...