Background: The immune system constitutes a sensory system both for intrinsic and extrinsic factors. Among the extrinsic factors, social and environmental determinants of health may influence and shape the immune system from the childhood to adulthood. The aim of this study was to assess the total and differential white blood cells (WBC) according to social and environmental determinants of health in an adolescent population. Methods: As part of the population-based cohort Epidemiological Health Investigation of Teenagers in Porto (EPITeen), 1213 adolescents were evaluated at the age of 13. Total and differential WBC were evaluated through a venous blood sample. Sociodemographic, behaviour and clinical data were collected by self-administered questionnaires. Results: Total WBC levels were positively related to female gender, increased body mass index (BMI) and negatively related to private school enrollment, high parental education and practice of sports. The percentage of neutrophils was positively related to female gender, low parental education and lack of sports practice, while the percentage of eosinophils was positively related to chronic disease and medication, allergy, asthma and rhinitis. Monocytes proportion was negatively related to female gender, chronic disease and medication, allergy, asthma and increased BMI. Conclusions: The presence of disease was associated with an allergic response pattern, while the worse socioeconomic conditions and lack of sports activity were characterized by an inflammatory response pattern. Therefore, our results show that different exposures lead to distinct immune patterns of response that may last and shape the immune system.