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Review
. 2021 Apr 10;8(5):ofab180.
doi: 10.1093/ofid/ofab180. eCollection 2021 May.

SARS-CoV-2 Vaccination During Pregnancy: A Complex Decision

Affiliations
Review

SARS-CoV-2 Vaccination During Pregnancy: A Complex Decision

Elizabeth Wenqian Wang et al. Open Forum Infect Dis. .

Abstract

As the first severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines passed UK and US regulatory milestones in late 2020 and early 2021, multiple professional societies offered recommendations to assist pregnant and breastfeeding people as they choose whether to undergo vaccination. Despite such guidance, the lack of data describing vaccine safety, immunogenicity, and efficacy in pregnant and breastfeeding people has made this decision challenging for many. However, even considering the paucity of data, the known risks of coronavirus disease 2019 during pregnancy likely outweigh the not yet fully elucidated risks of SARS-CoV-2 vaccines, which have reassuring safety and efficacy profiles among nonpregnant people.

Keywords: COVID-19; SARS-CoV-2; breastfeeding; pregnancy; vaccine.

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References

    1. Baden LR, El Sahly HM, Essink B, et al. . COVE Study Group . Efficacy and safety of the mRNA-1273 SARS-CoV-2 vaccine. N Engl J Med 2021; 384:403–16. - PMC - PubMed
    1. Polack FP, Thomas SJ, Kitchin N, et al. . C4591001 Clinical Trial Group . Safety and efficacy of the BNT162b2 mRNA Covid-19 vaccine. N Engl J Med 2020; 383:2603–15. - PMC - PubMed
    1. Voysey M, Clemens SAC, Madhi SA, et al. . Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK. Lancet 2021; 397:99–111. - PMC - PubMed
    1. Stephenson KE, Le Gars M, Sadoff J, et al. . Immunogenicity of the Ad26.COV2.S vaccine for COVID-19. JAMA 2021; 325:1535–44. - PMC - PubMed
    1. Lokken EM, Huebner EM, Taylor GG, et al. . Disease severity, pregnancy outcomes, and maternal deaths among pregnant patients with severe acute respiratory syndrome coronavirus 2 infection in Washington State. Am J Obstet Gynecol 2021; S0002–9378(21)00033-8. - PMC - PubMed