Abstract
mRNA vaccination against SARS-CoV-2 generates strong antibody and CD4⁺ T cell immunity, but the contribution of vaccine-induced T follicular helper (Tfh) cells in humans has been less clear. Using fine-needle aspiration of draining axillary lymph nodes after BNT162b2 vaccination, the authors profiled Tfh cell phenotypes and T cell receptor repertoires. They identified a dominant, HLA-DPB1*04-restricted response to a spike peptide (S167–180) in individuals carrying this common allele and showed that spike-specific Tfh cells in lymph nodes remained detectable for at least six months. Together, these findings highlight a durable germinal center Tfh response as a key mechanism supporting the strong and long-lived immunity elicited by SARS-CoV-2 mRNA vaccines.