Unfortunately, there is very little information or studies, but based on many related studies, I have come to conclude that those who are AO and BO are significantly healthier than those who are AA and BB. There can be two reasons:
a) Heterozygote advantage
This has been shown in many fields, among others Rh positive heterzygotes
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728066/
A strong advantage over rh negative and rh positive homozygotes
But all of this depends on the diseases. If you look at infections of viral origin for example, being rh negative appears to be of great advantage, especially being O negative.
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0141362
RhD negative subjects have increased the risk of developing of certain heart diseases, respiratory diseases and some immunity and autoimmunity related diseases, for example rheumatoid arthritis. The general pattern suggests that RhD negative subjects could have problems with autoimmunity, could be more resistant to infections of viral origin and could be less resistant to infections of bacterial origin.
What this doesn't seem to consider is the fact that we live unhealthy lives. It isn't necessarily a bad thing to react stronger to toxins. Not if we listen to our bodies rather than ignoring warning signs. A mix of a robust (temporarily) protective nature combined with the more sensitive canary in the coalmine one, people tend to adjust better to whatever is dealt. Wherever the gene deletion occurred and done well first is likely where conditions were ideal for those who had our blood types first.
b) While alleles carry functions (in Rh proteins for example transport of gasses, CO2, O2, also toxins), their presence can also be a magnet for health risks. For example, in malaria, type O conveys protection because RIFIN, a protein secreted by parasites, bonds weakly with type O blood cells while strongly linking to type A. In the case of COVID-19, it appears that blood clotting risks are lifted for blood type O as the risk of clotting significantly decreases. Having AO or BO lightens the load if you will. Overall, those with blood type AB tend to do worst on most levels. Even mental health wise:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343596/
The mandatory absence of O (unlike they are cisAB/O which is very rare) contributes.
Sensitivity is actually an advantage. Being more robust can lead to absorbing toxins and be unaware of what will turn out fatal at one point.
A can have a protective function in terms of tolerance in your case, but the nature of O keeps you on your toes if you will.
Btw., I do not believe O was "first", but also that just like with Rh negative blood, O is the result of a gene deletion which was beneficial. It can carry disadvantages and contribute sensitive reactions towards all sorts of intruders/toxins, but when kept "clean", will do better.
Genotype distributions in Europe
OO: 42 percent
AO: 38 percent
AA: 8.4 percent
BO: 8 percent
BB:0.36 percent
AB: 7 percent
You are definitely AO. As am I. Are you AO+ or -?