The emergence of adaptive immunity in response to the novel Betacoronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), occurs within the first 7 to 10 days of infection. 1-3 Understanding the key features and evolution of B-cell-and T-cell-mediated adaptive immunity to SARS-CoV-2 is essential in forecasting coronavirus disease 2019 (COVID-19) outcomes and for developing effective strategies to control the pandemic. Ascertaining long-term B-cell and T-cell immunological memory against SARS-CoV-2 is also critical to understanding durable protection. A robust memory B-cell and plasmablast expansion is detected early in infection, 2,4 with secretion of serum IgM and IgA antibodies by day 5 to 7 and IgG by day 7 to 10 from the onset of symptoms. In general, serum IgM and IgA titers decline after approximately 28 days (Figure), and IgG titers peak at approximately 49 days. Simultaneously, SARS-CoV-2 activates T cells in the first week of infection, and virus-specific memory CD4 + cells and CD8 + T cells reportedly peak within 2 weeks but remain detectable at lower levels for 100 or more days of observation. Grifoni et al 1 and others 5,6 have identified SARS-CoV-2-specific memory CD4 + T cells in up to 100% and CD8 + T cells in approximately 70% of patients recovering from COVID-19. Although severe COVID-19 is characterized by high-viral titers, dysregulated innate inflammatory cytokine and chemokine responses and prolonged lymphopenia, antibody-dependent enhancement or dominant CD4 + T H 2-type cytokines (eg, IL-4, IL-5, IL-13) do not appear to contribute to acute COVID-19 severity. The magnitude of the antibody and T-cell responses can differ and be discordant among individuals and is influenced by disease severity (asymptomatic, mild, moderate, or severe). The immune correlates of protection are not yet defined for COVID-19, but neutralizing antibodies, especially those that recognize the viral receptor binding domain (RBD) and other epitopes on the spike protein that prevent subsequent angiotensin-converting enzyme II receptor binding, membrane fusion, and viral entry, is one path to immunity. The magnitude of the anti-SARS-CoV-2 IgG and IgA titers to the spike protein correlates in convalescing patients with CD4 + T-cell responses 1 ; and the magnitude of IgG1 and IgG3 RBD enzyme-linked immunosorbent assay (ELISA) titers correlates strongly with viral neutralization. 2,3 The generation of neutralizing antibodies directed at the spike protein is a basis of multiple human vaccines in clinical trials 7 to counteract SARS-CoV-2, and virus neutralization is the basis of potential therapeutic and preventive monoclonal antibodies also currently in human clinical trials. Such virus neutralizing antibodies are protective in animal models of SARS-CoV-2 infection. Potent neutralizing antibodies