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Although pregnant women are at no greater risk of being infected by SARS-CoV-2, the woman and her infant are more likely to develop complications from COVID-19. Pregnant and lactating women were excluded from initial COVID-19 vaccine trials; thus, data to guide vaccine decision-making are lacking. Clinical trials evaluating the safety and efficacy of COVID-19 vaccines in pregnancy are now underway, and further trials are planned. The Vaccine Ministerial Advisory Committee (MAC) is continuously reviewing vaccine safety in pregnancy for all vaccines included in, or considered for inclusion, in the national vaccine rollout.