The following, took a bit of effort to identify where the behaviour was failing for a screen reader.
for all scenarios below the multi-select component currently has items (more than one) in it as selected.
GOOD
if keyboard focus is on text edit, and u leave the component (w/ tab key), when revisiting the component (w/ shift+tab keys) all selected items are read out correctly
BAD
if keyboard focus is on selected item, and u leave the component (w/ tab key), when revisiting the component (w/ shift+tab key) the focused (selected) item is not read out correctly.
(sorry example read out not provided)
GOOD
selected items are read out correctly when;
BAD
delete item;
the following behaviour also occurs after removing all items via a keyboard, the keyboard focus becomes lost;