COVID-19 vaccination and pregnancy

Key points about COVID-19 vaccination and pregnancy

  • If you catch COVID-19 when you're pregnant, you're more likely to become very unwell.
  • It's a good idea to get vaccinated and get a booster when you become eligible. 
Large family of 5 hugging with pregnant mum on couch

Video: Doctor Nikki on pregnancy, COVID-19, and the vaccine

(Ministry of Health, NZ, 2021)

Video: COVID-19 pregnancy and vaccination

(Healthify He Puna Waiora, NZ, in partnership with Northland DHB & Ministry of Health, 2022)

View transcript. [DOCX, 28 KB]

If you are pregnant (hapū), or planning a pregnancy, it's important to have the COVID-19 vaccine. Studies have shown this is safe and better for you and your baby. If you get COVID-19 while you’re pregnant you can become very sick.

If you’re pregnant, you can get a COVID-19 vaccine at any stage of your pregnancy. 

You can book online at Book My Vaccine(external link) or call the Vaccination Helpline on 0800 28 29 26 (8.30am to 5pm, Monday to Friday).

Vaccinating during pregnancy may also help protect your baby. Babies can get antibodies to the virus while they are in the womb and through breast milk.

Data from the large number of pregnant people already vaccinated around the world shows that there are no additional safety concerns with giving the Pfizer (Comirnaty) vaccine. Vaccinating during pregnancy may also help protect your baby. There is evidence that infants can get antibodies to the virus through umbilical cord blood and through breast milk.

Read more information about COVID-19 vaccination, pregnancy, lactation and breastfeeding(external link) from the Immunisation Advisory Centre. Karawhiua(external link) also has answers to FAQs about the COVID-19 vaccine especially for Māori. 

Novavax vaccine

The Pfizer vaccine is the preferred choice during pregnancy and breastfeeding. There is limited data about the Novavax vaccine during pregnancy or while breastfeeding and the Novavax COVID-19 vaccine is no longer available in Aotearoa New Zealand. If you have any questions or concerns, discuss them with your healthcare provider

If you're pregnant and over 16 years old, it's recommended that as well as your first 2 COVID vaccine doses, you should have booster doses.

  • Booster doses are given to “boost” the immune response. Booster doses are necessary because protection of the vaccine decreases over time.

To get a booster, you need to wait at least 6 months since your last COVID vaccine or 6 months after you've had a COVID-19 infection. You should discuss the timing of a booster with your midwife, obstetrician or healthcare provider.

Read more about COVID-19 vaccine booster doses.

You should also get vaccinated against the flu and whooping cough (pertussis) because the risk of catching these infections is just as high as ever. Getting vaccinated during pregnancy protects you and your newborn baby against these serious infections. 

You can get the influenza vaccine and COVID vaccine at any stage of pregnancy and whooping cough vaccine from 16 weeks of pregnancy. They can be given at the same time or separately. Read more about pregnancy and immunisations.

It's safe to have the COVID vaccine while you are breastfeeding. When you're vaccinated, this can also provide some protection against COVID-19 for your baby through your breast milk.

The following links provide further information on COVID-19 vaccination and pregnancy:

COVID-19 vaccination in pregnancy(external link) NZ College of Midwives, NZ
COVID-19: Information for women(external link) NZ College of Midwives, NZ 

Brochures

COVID-19 vaccine pregnancy and breastfeeding [PDF, 458 KB] Ministry of Health and Unite against COVID-19, NZ, 2021
COVID-19 vaccination, pregnancy and lactation(external link) The Immunisation Advisory Centre, NZ, 2025
I'm pregnant or breastfeeding, can I have the COVID-19 vaccine?(external link) Counties Manukau Health and Unite against COVID-19, NZ, 2021 Tongan(external link), Samoan(external link)

References

  1. Pregnancy and immunisations(external link) Health New Zealand | Te Whatu Ora
  2. Getting COVID-19 vaccines(external link) Health New Zealand | Te Whatu Ora
  3. Fernandez-Garcia S, Del Campo-Albendea L, Sambamoorthi D, et al. Effectiveness and safety of COVID-19 vaccines on maternal and perinatal outcomes: a systematic review and meta-analysis(external link) BMJ Glob Health. 2024;9(4). 
  4. Ciapponi A, Berrueta M, Argento FJ, et al. Safety and effectiveness of COVID-19 vaccines during pregnancy: a living systematic review and meta-analysis(external link) Drug Safety. 2024;47(10):991-1010. 

Brochures

Covid-19 vaccine pregnancy and breastfeeding
Ministry of Health and Unite against COVID-19, NZ, 2021


COVID-19 vaccination, pregnancy and lactation
The Immunisation Advisory Centre, NZ, 2025



I'm pregnant or breastfeeding, can I have the COVID-19 vaccine?
Counties Manukau Health and Unite against COVID-19, NZ, 2021
TonganSamoan

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Credits: Healthify editorial team. Healthify is brought to you by Health Navigator Charitable Trust.

Reviewed by: Stephanie Yee, Pharmacist, Auckland.

Last reviewed: