The Public Health Agency of Sweden
Updated 7 June 2021

Pregnancy and vaccination against COVID-19

Vaccination against COVID-19 is recommended for everyone who is pregnant. There is nothing to indicate that vaccinating a pregnant woman has any negative impact on either the pregnant women or the foetus.

More information about vaccination against COVID-19 for those who are pregnant is provided below.

Vaccination is recommended for everyone who is pregnant

Vaccination against COVID-19 is recommended for all adults over the age of 18, including those who are pregnant:

  • Pregnant people with risk factors that give them a higher risk of more severe COVID-19 are prioritised for vaccination and are included in phase 3.
  • Pregnant people without risk factors are being vaccinated with their age group in phase 4.
  • Pregnant people are vaccinated with one of the approved mRNA vaccines (Comirnaty, Moderna COVID-19 Vaccine).
  • Vaccination of those who are pregnant takes place after week 12 of the pregnancy as the need for protection against the disease is assessed to be greater in the later stages of pregnancy. This also applies to other vaccines such as the flu vaccine.

Most people who become ill with COVID-19 have mild symptoms and do not need to seek medical attention. However, an infection in the airways can be problematic and entail risks for pregnant people, especially towards the end of pregnancy. There may also be an increased risk of premature delivery, and that can be risky for the child. 

Vaccines approved for pregnant people

The vaccines against COVID-19 that are used in Sweden are approved for use on pregnant people throughout the entire pregnancy. There is nothing to indicate that vaccinating a pregnant woman has any negative impact on either the pregnant women or the foetus. Nor is there any evidence of any increased risk of side effects among pregnant people in connection with vaccination, compared to other people. This is shown in the studies that form the basis of the approval and continued administration of the vaccine to pregnant people.

A safety study in the USA in which 35,000 vaccinated pregnant people have self-reported side effects did not find any negative impact on the pregnant woman or the foetus.

A number of countries are now recommending that all pregnant people be offered vaccination against COVID-19.

Someone who is pregnant and vaccinated against COVID-19 has equally good protection against the disease as other people who have been vaccinated.

Pregnant people in a risk group are prioritised for vaccination

Pregnant people who have a disease or a condition that may give them an increased risk of more severe COVID-19 during pregnancy are prioritised ahead of people without risk factors aged 18–59 and healthy pregnant people.

Risk factors include obesity, high blood pressure, diabetes and being over 35 years of age. 

It is recommended that pregnant people with risk factors are vaccinated against COVID-19 after the twelfth week of pregnancy. However, it may be appropriate for pregnant people with risk factors to get early protection against COVID-19. In those cases, vaccination can also be given prior to week 12. Decisions about vaccination prior to week 12 are made in accordance with regional procedures.

If you are pregnant and choose not to get vaccinated

If you are pregnant and choose not to get vaccinated against COVID-19, it is particularly important that you continue to adhere to the general guidelines throughout your pregnancy, especially ahead of giving birth, in order to reduce the risk of being infected. Read more about our general guidelines for reducing the risk of being infected and infecting others.