Immunization with vaccinia virus elicits a protective antibody response that is almost completely CD4+ T cell dependent. A recent study in a rodent model observed a deterministic linkage between antibody and CD4+ T cell responses to particular vaccinia virus proteins suggesting that CD4+ T cell help is preferentially provided to B cells with the same protein specificity (Sette A et al., Immunity 2008, 847–858). However, a causal linkage between antibody and CD4+ T cell responses to vaccinia or any other large pathogen in humans has yet to be done. In this study, we measured the antibody and CD4+ T cell responses against four vaccinia viral proteins (A27L, A33R, B5R, and L1R) known to be strongly targeted by humoral and cellular responses induced by vaccinia virus-vaccination in 90 recently vaccinated and 7 long-term vaccinia-immunized human donors. Our data indicate that there is no direct linkage between antibody and CD4+ T cell responses against each individual protein in both short-term and long-term immunized donors. Together with the observation that the presence of immune responses to these four proteins is linked together within donors, our data suggest that in vaccinia-immunized humans, individual viral proteins are not the primary recognition unit of CD4+ T cell help for B cells. Therefore, we have for the first time showed evidence that CD4+ T cells provide intermolecular (also known as non-cognate or heterotypic) help to generate robust antibody responses against four vaccinia viral proteins in humans.