New ECRI Report Finds COVID-19 mRNA Vaccines Safe and Effective for Pregnant Women and Their Babies

ECRI

WILLOW GROVE, PA — A new clinical assessment from ECRI, a leading nonprofit health technology evaluator, concludes that mRNA COVID-19 vaccines are both safe and effective for pregnant women and their infants. The findings reinforce earlier guidance from the CDC and provide updated evidence for healthcare providers and policymakers.

Drawing from a comprehensive January 2025 systematic review that analyzed nearly 300 studies—alongside nine newly completed studies—ECRI’s report affirms that the health benefits of vaccination during pregnancy outweigh the associated risks.

The organization’s review comes after the CDC revised its language earlier this year, removing the phrase “especially important” in reference to COVID-19 vaccination during pregnancy. In response, ECRI conducted its own independent analysis to help healthcare professionals and decision-makers evaluate the evidence.

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“The available data suggest mRNA vaccines are safe and effective for pregnant women and their babies,” ECRI concluded in its white paper. The analysis examined outcomes related to both maternal health and infant development, with no significant safety concerns identified across the reviewed literature.

ECRI is one of a handful of institutions in the U.S. officially designated as an Evidence-based Practice Center by the Agency for Healthcare Research and Quality (AHRQ). It is also a federally certified Patient Safety Organization through the Department of Health and Human Services.

The recent report is part of ECRI’s broader Clinical Evidence Assessment (CEA) program, which delivers rapid, unbiased evaluations of emerging healthcare interventions. These assessments are widely used by hospitals, insurers, and public health agencies to guide patient safety and quality initiatives.

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The organization’s CEA framework has been applied to a wide range of topics in recent years, including AI-enabled medical tools, obesity treatments, and digital health technologies. In each case, the focus remains on delivering clear, evidence-based summaries to support better decision-making across the healthcare ecosystem.

With COVID-19 vaccination still a subject of public concern, especially in vulnerable populations like pregnant women, ECRI’s findings are expected to play a key role in shaping provider recommendations and public health messaging in the months ahead.

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