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Can mRNA vaccines cause long-term persistence of spike protein in the body?

Checked on November 16, 2025
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Executive summary

Available published and preprint studies report that spike protein — or vaccine-derived mRNA that can produce spike — has been detected in human tissues or blood for periods ranging from hours–days up to many months in specific cohorts; peer‑reviewed human tissue studies report persistence up to about 60 days in lymph nodes and circulation detection up to 28–120 days in some assays, while smaller and non‑peer‑reviewed investigations claim much longer detection (hundreds of days) in selected groups [1] [2] [3] [4]. Reporting differs on mechanism and prevalence: some authors describe transient, localized expression and rapid mRNA decay (days), while others document circulating spike on exosomes or in blood months after vaccination and call for further study [5] [6] [3].

1. What the peer‑reviewed human tissue data say — short to moderate persistence

Multiple peer‑reviewed studies using lymph node biopsies, sensitive plasma assays, and autopsy tissues have detected vaccine mRNA or spike protein beyond the first hours after injection; for example, axillary lymph node studies found vaccine mRNA and spike protein detectable up to about 60 days after vaccination, and single‑molecule assays detected spike in plasma up to ~28 days post‑mRNA vaccination in some subjects [1]. These are not claims that every vaccinated person carries spike for months — they are measurements in selected samples with specific detection methods and limited sample sizes [1].

2. Reports and reviews that document longer persistence in some cases

A number of reviews and smaller studies report spike or spike‑containing exosomes present months after vaccination: exosomes bearing spike were reported up to four months post‑vaccination in one analysis, and some preprints and case‑series of people with prolonged symptoms report average persistence measures around ~105 days or even longer in selected patients [6] [3]. These reports have driven calls for more systematic biodistribution and longitudinal measurements because they describe findings that contrast with early expectations that mRNA and expressed protein would be short‑lived [2].

3. Newer preprints and media coverage claiming very long persistence — contested and not peer‑confirmed

Media and some non‑peer sources have highlighted preprint findings and cohort studies claiming spike detectable many months — even up to ~700 days — after vaccination in particular samples or patient groups [4] [7] [8]. These accounts often come from preprints, press coverage, or advocacy outlets; independent experts quoted in mainstream coverage urged caution, noting such studies do not by themselves prove ongoing vaccine‑driven spike production and that other explanations (sample selection, assay specificity, prior infection, reactivation phenomena) need evaluation [4].

4. Mechanistic questions — how could persistence happen?

Authors and reviewers propose several non‑exclusive mechanisms: (a) localized retention of vaccine mRNA and antigen in lymphoid tissue and exosomes, (b) detection of spike protein fragments rather than intact functional protein, and (c) rare variations in biodistribution where lipid nanoparticle components or translated spike reach other tissues [1] [9] [10]. Some reviews also speculate about lot heterogeneity or contamination as possible contributors to unusual findings, but those assertions are debated and require direct evidence [11] [3].

5. Clinical significance and competing interpretations

There is no consensus in the provided sources that long‑term detection of spike equals widespread harm. Some clinicians and researchers argue persistent spike could contribute to inflammatory syndromes and merit therapeutic strategies, especially in patients with prolonged symptoms [3] [12]. Others and institutional summaries note typical mRNA vaccines induce transient expression and that evidence does not establish routine dangerous accumulation in organs [5]. Mainstream experts cited in reporting urge more rigorous, controlled studies before drawing population‑level safety conclusions [4].

6. Limits of current reporting and what to watch for next

Available sources include peer‑reviewed tissue studies, reviews, case series, preprints and media reports with differing methodologies and sample selection [1] [2] [4]. Important gaps remain: large, prospectively sampled cohorts with validated, standardized assays; clear differentiation between vaccine‑derived versus infection‑derived spike; and replication of extreme persistence claims in peer‑reviewed, independent labs (not found in current reporting). Readers should watch for peer‑reviewed follow‑ups to high‑profile preprints and for studies that include controls for prior infection and assay specificity.

Bottom line: documented detections of vaccine‑related mRNA or spike beyond the first days after vaccination exist in peer‑reviewed work (notably up to ~60 days in lymph nodes and weeks in plasma) and in multiple reports claiming longer persistence in select patients; however, findings and interpretations vary across studies and many longer‑duration claims are from preprints or non‑peer outlets that require independent confirmation [1] [6] [4].

Want to dive deeper?
What evidence exists for detectable SARS-CoV-2 spike protein in blood after mRNA vaccination and how long does it persist?
Can vaccine-generated spike protein accumulate in organs or tissues and cause long-term effects?
How do mRNA vaccine biodistribution and protein clearance studies inform safety assessments?
Are there documented clinical syndromes linked to persistent spike protein after COVID-19 vaccination?
How do immune responses (antibodies and T cells) affect clearance of vaccine-produced spike protein?