Maternal COVID-19 Vaccination and Its Potential Impact on Fetal and Neonatal Development

Niel A Karrow1, Umesh K Shandilya1, Steven Pelech2

  • 1Department of Animal Biosciences, University of Guelph, Guelph, ON N1G 2W1, Canada.

Vaccines
|November 27, 2021
PubMed

Insights

COVID-19 vaccines were rapidly developed, but pregnant women were excluded from trials. This review examines potential risks of viral vector and mRNA vaccines to fetuses and neonates, proposing an ovine model for long-term study.

Area of Science:

  • Immunology
  • Obstetrics
  • Neonatology
  • Pharmacology

Background:

  • The COVID-19 pandemic necessitated rapid vaccine development.
  • Pregnant women were excluded from initial clinical trials for SARS-CoV-2 vaccines.
  • The safety of COVID-19 vaccines for pregnant individuals, fetuses, and neonates remains largely undetermined.

Purpose of the Study:

  • To review the components of first-generation viral vector and mRNA COVID-19 vaccines.
  • To explore potential adverse reactions that may impact fetal and neonatal development.
  • To discuss the utility of an ovine model for studying long-term vaccination outcomes.

Main Methods:

  • Literature review of COVID-19 vaccine components and known adverse reactions.
  • Analysis of potential impacts of vaccine-associated adverse events on prenatal and neonatal development.
  • Exploration of the ovine model for preclinical safety and efficacy studies.

Main Results:

  • Common COVID-19 vaccine reactions (e.g., fever, fatigue) could potentially affect fetal/neonatal development.
  • Specific components in viral vector and mRNA vaccines may contribute to adverse reactions.
  • The ovine model offers a viable preclinical platform for assessing long-term outcomes.

Conclusions:

  • Further research is crucial to determine the safety of COVID-19 vaccines in pregnant populations.
  • Understanding vaccine components and their potential adverse effects is essential for safeguarding maternal-fetal health.
  • The ovine model presents a promising avenue for investigating the long-term consequences of prenatal vaccination.

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