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Which Vaccines Are Safe During Pregnancy? Caring for Two

Pregnancy is a time of excitement, planning and change — but it can also bring important questions about how to protect yourself and your baby. If you’ve wondered whether you need the flu shot during pregnancy, the Tdap vaccine or the RSV vaccine during pregnancy, you’re not alone. These are common and meaningful questions.

“My goal is to walk you through what each vaccine does and why it matters, so you can make confident decisions for your growing family.” — Shannon Courveur, DO, Carrollton Obstetrics and Gynecology, Carrollton, Georgia

Why vaccines matter during pregnancy

Your immune system naturally adjusts during pregnancy to support your baby. These changes can also make you more likely to become seriously ill from certain infections.

Vaccines recommended during pregnancy help protect you and provide antibodies that your baby can use after birth. These recommendations are based on long-standing research supported by the Society for Maternal-Fetal Medicine.

The flu shot

Getting a flu shot during pregnancy is recommended during any trimester. Pregnant women have a higher risk of complications from the flu, including pneumonia and preterm labor.

The flu vaccine is inactive, meaning no live virus is injected. Mild side effects, such as arm soreness or fatigue, are normal.

An added benefit is passive immunity. Protective antibodies pass from you to your baby, offering flu protection during the first few months of life.

Tdap (tetanus, diphtheria, pertussis)

The Tdap vaccine during pregnancy is essential for protecting newborns from pertussis, also known as whooping cough. Babies cannot receive their own whooping cough vaccine until two months of age.

When Tdap is given between 27 and 36 weeks, protective antibodies pass to your baby. Even if you received Tdap during a prior pregnancy, it is recommended to receive it again to protect each baby.

Family members and caregivers should also be up to date on their vaccines to help create a safe circle of protection. They should have received a dose within the past five years.

RSV vaccine

Respiratory syncytial virus (RSV) is a common respiratory virus that can be very serious in newborns. The RSV vaccine during pregnancy, called Abrysvo, is approved for women between 32 and 36 weeks of pregnancy during RSV season.

RSV is one of the leading causes of hospitalization in infants. This maternal vaccine helps reduce that risk during the months when babies are most vulnerable.

Vaccines not recommended during pregnancy

Live vaccines are avoided during pregnancy. These include:

  • MMR (measles, mumps, rubella)
  • Varicella (chickenpox)
  • The live nasal spray flu vaccine

If you need these vaccines, your provider can help schedule them before pregnancy or after delivery. Even if prenatal bloodwork shows that you are not immune to rubella or varicella, vaccination is typically offered at your postpartum appointment.

Side effects: what to expect

“I understand that vaccines, especially during pregnancy, can feel intimidating and overwhelming. At Carrollton Obstetrics and Gynecology, we are dedicated to helping patients understand recommendations and make informed decisions without judgment.” — Shannon Courveur, DO

Most vaccine reactions during pregnancy are mild and temporary. Arm soreness, fatigue or a low-grade fever can occur. Serious reactions are rare.

If you have allergies or specific medical concerns, your provider will help determine the safest approach for you.

Frequently Asked Questions

Which vaccines do I truly need during pregnancy?

According to the American College of Obstetricians and Gynecologists, recommended vaccines include the flu shot, the Tdap vaccine and, when timing is appropriate, the RSV vaccine.

Do vaccines really protect my baby?

Yes. Vaccines like flu, Tdap and RSV help transfer protective antibodies to your baby, giving them early immunity before they can be vaccinated themselves.

Is it safe to get vaccines early or late in pregnancy?

Some vaccines are flexible, such as the flu shot. Others have specific timing, including Tdap (27–36 weeks) and RSV (32–36 weeks).

What if I am nervous about side effects?

Mild side effects can occur, but serious complications are rare. Your provider will review your health history and help you decide what feels right for you.

Can I get vaccinated if I am breastfeeding later?

Yes. Most vaccines, including the flu shot and Tdap, are safe during breastfeeding and may offer added antibody protection for your baby.

What if I realize late in pregnancy that I missed a vaccine?

It is not too late. Your provider will help determine which vaccines still make sense based on your timing and your baby’s needs. Vaccination after delivery is also an option.

You do not have to figure this out alone

Questions about the flu shot, Tdap or RSV vaccine during pregnancy should not add stress to an already full season of life. You deserve clear guidance, steady support and a provider who explains options in a reassuring way.

At Carrollton Obstetrics and Gynecology, we walk you through each recommendation, answer questions with care and help you protect yourself and your baby with confidence.

Local care you can trust

If you live in Carrollton, Villa Rica, Bremen, Wedowee or anywhere across west Georgia and east Alabama, you can count on Carrollton Obstetrics and Gynecology for safe, evidence-based vaccine care close to home.

To schedule a vaccine visit or speak with a provider, call 770-214-2229.

Tanner Health System, Maternity Care, Women’s Care, Tanner Medical Group, Children's Health Care, Obstetrics Care




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