A proposed intervention for newborn infants in countries with suspected vitamin A (VA) deficiency is to administer 50,000 IU retinyl palmitate at birth to reduce mortality risk. However, no studies have investigated birth weight effects. In this study, low birth weight (LBW; <1 kg, n ¼ 18) and healthy birth weight (HBW) piglets (>1.5 kg, n ¼ 18) from VA-depleted sows were dosed with 25,000 or 50,000 IU retinyl palmitate (26.2 or 52.4 mmol retinol equivalents) at birth to compare VA reserves. Blood was collected at varying times (n ¼ 3-5/time/dose), and piglets were killed at 12 or 24 h for blood, liver, kidneys, spleen, lungs, adrenal gland, and intestinal contents. HBW piglets had significantly higher birth, death, and organ weights than LBW (P < 0.0001 for all). HBW and LBW piglets, which received VA, had higher liver and kidney VA concentrations (0.18 AE 0.09, 0.24 AE 0.10 mmol/g liver and 13.4 AE 4.1, 14.2 AE 4.5 nmol/g kidney, respectively) than controls (n ¼ 10) (0.051 AE 0.01 mmol/g liver and 1.01 AE 0.43 nmol/g kidney) (P ¼ 0.0061 and < 0.0001, respectively). Total liver (9.75 AE 5.16 mmol) and kidney retinol (204 AE 79.1 nmol) were higher in HBW than LBW piglets (P < 0.0001). Extrahepatic tissues, except lung, had higher VA concentration than controls (P < 0.0001). Serum retinol and ester concentrations were higher in treated than control piglets (P ¼ 0.0028, P < 0.0001, respectively), and significantly changed during the times sampled (P ¼ 0.022, P ¼ 0.011, respectively). Peak serum retinyl ester concentrations, which occurred at 3 h, were higher in piglets that received 50,000 IU (4.2 AE 4.4 mmol/L) than 25,000 IU (2.7 AE 2.3 mmol/L) (P ¼ 0.031). Regardless of dose amount, HBW piglets stored more supplemental VA than LBW piglets when administered at birth.