Vaccines in Pregnancy — Australia

💉
Vaccines in Pregnancy — What's Free & When

Whooping cough, flu, RSV and COVID-19 — every vaccine routinely recommended in pregnancy in Australia, with timing and funding. Based on the Australian Immunisation Handbook and NCIRS.

🇦🇺 AUAustralian Immunisation HandbookUpdated August 2026
📋 Sources — verified August 2026:
1. Australian Immunisation Handbook — Pertussis vaccination in pregnancy ↗
2. NCIRS — Vaccine recommendations for pregnant women (guide for health professionals) ↗
3. Australian Government Department of Health, Disability and Ageing — Influenza vaccination in pregnancy ↗
4. Australian Immunisation Handbook — RSV chapter ↗
5. NCIRS — Pertussis vaccines for Australians — fact sheet ↗
Editorial independence: Written and fact-checked independently by AskMyGP (Digital Treasure Pty Ltd). No pharmaceutical company has had editorial input into, reviewed, or approved this content. See our Editorial Independence & Funding policy.

📋 Four vaccines to know about in pregnancy

Three are funded in every pregnancy under the National Immunisation Program (NIP) for Medicare-eligible women. COVID-19 is different: since 1 October 2026, ATAGI says a dose may be considered from 20 weeks of gestation in each pregnancy, and “consider” doses are not NIP-funded — so it is a private purchase unless you are in a funded group (for example, 18–64 with severe immunocompromise, or Aboriginal and Torres Strait Islander 50+). Source: ATAGI statement, 7 September 2026.

🦫
Whooping cough (pertussis / dTpa)
20–32 weeks (optimal), every pregnancy
Free
🤧
Influenza (flu)
Any time in pregnancy, every pregnancy
Free
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RSV (Abrysvo)
From 28 weeks, every pregnancy
Free
🦠
COVID-19
Can consider from 20 weeks
Private

All four can be given at the same visit, in different injection sites. Your GP or midwife can talk you through timing.

🦫 Whooping cough (pertussis) vaccine

src Australian Immunisation Handbook ↗

A single dose of a pertussis-containing vaccine (dTpa — brand names Boostrix or Adacel, which also cover diphtheria and tetanus) is recommended in every pregnancy, even if pregnancies are closely spaced, because your antibody levels wane over time.

Why it matters: whooping cough is most dangerous for babies too young to have started their own vaccinations (the first NIP dose is at 6 weeks). Vaccination in pregnancy lets your antibodies cross the placenta and protect your baby from birth — reducing infant pertussis risk in the first 3–4 months of life by around 90%.

Timing

Optimal: 20–32 weeks — often timed around your 20-week ultrasound. Antibody levels peak about 2 weeks after vaccination, and the greatest transfer to your baby happens from around 30 weeks — so vaccinating in this window gives your baby the best protection.
Missed the window? You can still have it any time up to delivery — it's still worthwhile. A dose given less than 2 weeks before birth gives your baby less protection, but you and your own immunity still benefit.
Had a dose earlier for another reason (13–20 weeks)? No need to repeat it in the 20–32 week window.

🤧 Influenza (flu) vaccine

src Dept of Health — flu in pregnancy ↗

Pregnant women are at higher risk of severe illness from flu, including hospitalisation, and flu in pregnancy is also linked to a higher risk of complications for the baby. The flu vaccine is free under the NIP in every pregnancy, at any stage, and is recommended even outside the usual flu season if travelling to the northern hemisphere winter.

Vaccinating in pregnancy also passes protective antibodies to your baby, who can't be vaccinated against flu themselves until 6 months of age.

Full flu vaccine eligibility guide →

💉 RSV vaccine (Abrysvo)

A single dose of Abrysvo from 28 weeks gestation (ideally before 36 weeks) lets your antibodies cross the placenta and protect your newborn from RSV — a common cause of serious respiratory illness in young babies — for up to 6 months after birth. Free under the NIP. Arexvy (the other RSV vaccine, for older adults) is not used in pregnancy.

Full RSV vaccine guide → RSV decision aid →

🦠 COVID-19 vaccine

ATAGI (7 September 2026) says a COVID-19 dose may be considered from 20 weeks of gestation in each pregnancy; for people with risk factors for severe COVID-19 it is safe to receive at any time during pregnancy. It can be given at the same visit as whooping cough, RSV and flu vaccines. Since 1 October 2026 “consider” doses are not funded under the NIP, so vaccination in pregnancy is a private purchase unless you are in a funded group (for example, 18–64 with severe immunocompromise, or Aboriginal and Torres Strait Islander 50+). Talk to your GP or midwife about what applies to you. Full COVID-19 funding guide → Source: ATAGI statement ↗; Department of Health ↗.

⛔ What's not recommended in pregnancy

Most live vaccines are contraindicated during pregnancy, including MMR (measles-mumps-rubella) and varicella (chickenpox). The HPV and yellow fever vaccines are also not recommended in pregnancy. If you need any of these, they're usually given before conceiving or after you've given birth — ask your GP about timing if you're planning a pregnancy.

Common questions

Yes — a dose is recommended in every pregnancy, even closely spaced ones, because antibody protection wanes over time and each baby needs their own passive protection at birth. Source: Australian Immunisation Handbook ↗

Yes. Whooping cough, flu, RSV and COVID-19 vaccines can all be given at the same visit, in different injection sites. Source: NCIRS ↗

The vaccines recommended in pregnancy (dTpa, flu, RSV, COVID-19) are non-live, inactivated or protein-based vaccines and are recommended specifically because their safety in pregnancy is well established — this is different from the live vaccines that are avoided in pregnancy. Talk to your GP or midwife about your individual circumstances.

⚠ This page provides general information only — not personal medical advice. Vaccine recommendations can change and individual circumstances vary. Speak with your GP or midwife about what's right for you and your pregnancy.