All following symptoms must be present;
VMware NSX 9.0
The LB automap SNAT IP is a private IP. If the pool member is not in the same VPC where the LB service is, this traffic from LB to the pool member with SNAT IP can be routed to the pool member server. But as this private IP is not reachable from other VPCs, the reverse traffic from the pool member server to LB cannot be routed back to this VPC.
Update LB pool to remove the pool members which are not in this VPC.