Common variable immunodeficiency (CVID) is a heterogeneous group of diseases. Our aim was to define subgroups of CVID patients with similar phenotypes and clinical characteristics. Using eightcolor flow cytometry, we analyzed both Band T-cell phenotypes in a cohort of 88 CVID patients and 48 healthy donors. A hierarchical clustering of probability binning "bins" yielded a separate cluster of 22 CVID patients with an abnormal phenotype. We showed coordinated proportional changes in naïve CD4+ T-cells (decreased), intermediate CD27− CD28+ CD4+ T-cells (increased) and CD21low B-cells (increased) that were stable for over three years. Moreover, the lymphocytes' immunophenotype in this patient cluster exhibited features of profound immunosenescence and chronic activation. Thrombocytopenia was only found in this cluster (36% of cases, manifested as Immune Thrombocytopenia (ITP) or Evans syndrome). Clinical complications more frequently found in these patients include lung fibrosis (in 59% of cases) and bronchiectasis (55%). The degree of severity of these symptoms corresponded to more deviation from normal levels with respect to CD21low B-cells, naïve CD4+ and CD27− CD28+ over three years. Moreover, th-cells. Next-generation sequencing did not reveal any common genetic background. We delineate a subgroup of CVID patients with activated and immunosenescent immunophenotype of lymphocytes and distinct set of clinical complications without common genetic background. Common variable immunodeficiency (CVID) is a heterogeneous collection of diseases defined as hypogammaglobulinemia of unknown cause (secondary hypogammaglobulinemia excluded) with markedly decreased IgG and IgA levels, with or without low IgM levels, displaying a lack of antibody response to vaccination. It is clinically accompanied by infections, autoimmunity, granulomatous disease and, in some cases, lymphoproliferation. In a large study by Resnick 1 , 94% of the patients had a history of infections, while autoimmunity was found in 28%