The Public Health Agency of Sweden
Updated 14 February 2022

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 person has any negative impact on either the pregnant person or the foetus.

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

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.

Studies show that pregnant people have a slightly higher risk of becoming seriously ill with COVID-19. The National Board of Health and Welfare considers that serious COVID-19 during the later stages of pregnancy increases the risk of premature birth. Therefore, if you are more than 20 weeks pregnant, you are considered to be in a risk group. 

About COVID-19 and pregnancy

Vaccination is recommended for everyone who is pregnant

If you are pregnant, you can get vaccinated against COVID-19 throughout your pregnancy. However, the Public Health Agency recommends that pregnant people get vaccinated after the twelfth week of pregnancy. The need for protection against COVID-19 is considered most important in the later stages of pregnancy. Even though it has not been found to pose a specific risk to pregnancy, vaccinating people in their early stages of pregnancy is often avoided.

It may be appropriate for pregnant people with risk factors to get early protection against COVID-19.

If you had your first COVID-19 vaccination before getting pregnant or before knowing that you were pregnant, we strongly recommend you to have the second vaccination as scheduled. It is important that you have your second vaccination as this will give you a longer lasting protection against COVID-19. Even if you have previously had COVID-19, you will get a stronger protection if you get vaccinated. You can also get vaccinated during the period when you are breastfeeding your child. The vaccination provides a strong protection against serious illness and has no negative impact on your child.

Booster dose for pregnant people

In Sweden, everyone above the age of 18 years is recommended to get vaccinated against COVID-19 with two primary doses and one booster dose. If it is time for the booster dose during your pregnancy, you are recommended to get the dose after the twelfth week of pregnancy. There is nothing to prevent a pregnant person from getting both the primary vaccinations and the booster dose during pregnancy.

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 person has any negative impact on either the pregnant person 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.

Most 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

Some pregnant people have a disease or a condition that may give them an increased risk of more severe COVID-19 during pregnancy. Risk factors listed by the National Board of Health and Welfare include obesity, high blood pressure, diabetes and being over 35 years of age. For these people, vaccination against COVID-19 may be considered even before the twelfth week of pregnancy. If this applies to you, consult your midwife or doctor.

If you are not vaccinated

If you are not yet vaccinated against COVID-19, you should get the vaccine as soon as possible. The vaccine provides the best protection against illness towards the end of the pregnancy. If you are not vaccinated, you should avoid crowding and large gatherings. Unvaccinated people belonging to a risk group run a higher risk of becoming seriously ill with COVID-19.

Fact sheet

  • If you are pregnant – About the COVID-19 vaccination

    This factsheet provides information to pregnant people about vaccination against COVID-19. Size A4 for printing. It is important for pregnant people to get vaccinated against COVID-19. It is also important to stay as healthy as possible in preparation for the childbirth. If you are 18 years or older, you can get your seasonal influenza vaccination at the same time as your vaccination against COVID-19. Other…

    If you are pregnant – About the COVID-19 vaccination