I haven’t been following the comments above, but (in case if useful):
- I do use multiple Firefox (ESR) profiles with the Bitwarden extension, and they sync as expected.
- I would suggest creating a new profile and using that as a test instead of the problematic profile.
- Firefox does have the profile reset feature, supposedly to help with non-tractable problems related to settings, custom settings (in the about:config screen), add-ons, etc.