Reproductive Health Program Reproductive Health Program

Phone:
  SLC area: (801) 538-9970

FAX:
  SLC area: (801) 538-9409

Mail:
  Reproductive Health Program
  P.O. Box 142001
  Salt Lake City UT
  84112-2001




Should A Pregnant Woman Get a Flu Shot or other Vaccinations During Pregnancy?

Recommendations for vaccinating pregnant women vary based on the type of vaccine and the way the vaccine creates immunity. Some vaccines are made from “inactivated virus” and some are made from “live-virus”. The live virus vaccines are generally not recommended during pregnancy, because of a possible risk of transmitting the virus to the fetus. After receiving a vaccination of a live virus, a woman is counseled to avoid becoming pregnant for four weeks after the vaccine was given.

However, in certain circumstances the benefits of receiving the vaccine may outweigh the risks and vaccination should be considered. If a woman is at high risk of disease exposure due to her work, travel, or contact with people, the benefits of getting vaccinated likely outweigh the risks of contracting the disease. If she is at low risk of exposure, she may choose to not receive the vaccine or wait until she is no longer pregnant. The following table may be used as a general guide.

 
Name of Vaccine Approved for use in Pregnancy? Additional Information
Influenza (Flu) - Inactivated
Yes
Recommended for women who will be pregnant during the flu season.
Hepatitis A
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Safety has not been determined. Risk of vaccination should be weighted against risk of disease in women at high risk for exposure.
Hepatitis B
Yes
Can also be given while breastfeeding.
Human Papillomavirus
No
Data is limited. Delay vaccine until after pregnancy.
Measles(Commonly given with Mumps and Rubella)
No
Avoid becoming pregnant for 28 days after vaccination.
Menningococcal (MCV4) (conjugate)
No
No data on safety during pregnancy.
Mumps (Commonly given with Measles and Rubella)
No
Avoid becoming pregnant for 28 days after vaccination.
Rubella (German Measles) (Commonly given with Measles and Mumps)
No
Avoid becoming pregnant for 28 days after vaccination.
Pneumococcal (PPV 23) (Pneumonia)
No
Safety has not been evaluated although no adverse consequences reported.
Polio
No
Should be avoided unless at high risk for exposure.
Tetanus/Diphtheria (Td)
Yes
If over 10 years since last vaccination should receive booster dose after 14th week.
Tetanus/Diptheria/Pertusis (Tdap)
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Safety has not been evaluated. Recommended only for women at high risk for pertusis (age 11 - 18 years, health care personnel, women living or employed where a pertusis outbreak is occurring).
Varicella (Chickenpox)
No
Avoid becoming pregnant for one month after vaccination. Effects of vaccine on the fetus are unknown.

For more information about vaccinating pregnant women and other immunization issues, go to “Guidelines for Vaccinating Pregnant Women”, visit the Utah Immunization Program website, talk with your health care provider, or contact the Pregnancy Risk Line at
1-800-822-2229.

For more information on pregnancy, breastfeeding and travel go to http://www.cdc.gov/travel/pregnant.htm.

Source: Adapted from the “Guidelines for Vaccinating Pregnant Women,” Centers for Disease Control and Prevention.

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