Vaccinations Recommended and Safe During Pregnancy – 2025 Guidelines
Vaccinations recommended for family planners (not yet pregnant):
| - Covid-19 | - Hepatitis A | - MMR (measles, mumps, rubella) |
| - Chickenpox (Varicella) | - Influenza | - Tetanus |
| - Diphtheria | - Pertussis (Whooping Cough) |
Vaccinations that can still be administered during the 1st trimester of pregnancy:
| - Tetanus or rabies post-exposure prophylaxis | ||
| - Influenza | - Hepatitis A | - Meningococcus |
| - Pertussis (Whooping Cough) | - COVID-19 |
Vaccinations not recommended for planned administration during pregnancy:
| - HPV2 | - Tick-borne encephalitis vaccine |
Vaccinations contraindicated during pregnancy:
| - Chickenpox (Varicella | - MMR (measles, mumps, rubella) |
Influenza vaccination:
Recommended for:
- Pregnant women and those planning pregnancy: to protect both the mother, who is at higher risk, and to provide immunity to the newborn for up to 6 months; especially those planning to become pregnant during flu season.
- Breastfeeding women, regardless of their health status: to reduce the risk of flu transmission from mother to infant.
Diphtheria-Tetanus-Acellular Pertussis (dTap) booster vaccine:
Recommended for:
- Protection of newborns against pertussis: dTap vaccine should be administered during the third trimester, ideally at least two weeks prior to the expected delivery date.
- The vaccine is not necessary if immunization against pertussis occurred during pre-pregnancy planning.
The following dTap vaccines can be used for pregnant women:
- Boostrix
- Boostrix Polio
- Adacel
- Adacel Polio
RSV Vaccine – ABRYSVO:
Recommended for:
- A single 0.5 ml dose between the 24th and 36th week of pregnancy. The purpose of maternal immunisation is to provide passive protection for the newborn against lower respiratory tract infections caused by Respiratory Syncytial Virus (RSV), from birth until 6 months of age.
- As RSV is a seasonal illness, the RSV vaccine is only recommended if the 32nd–36th week of pregnancy falls between January and September, so that babies born during the RSV season (October–end of March) will be protected.
Live-virus combination vaccines against measles, mumps, and rubella (MMR):
- Not to be administered to pregnant women.
- Women planning pregnancy should be advised to wait at least one month after receiving the vaccine before conceiving.
Dr. Erika Bodnár
Infant, paediatrician