The objective of this study was to estimate the impact of somatic cell count in early lactation (SCCel) from Belgian dairy heifers on test-day somatic cell count (SCC) in first lactation. Geometric mean SCCel [ 5 to 14 d in milk ( DIM)] of the 14,766 available samples was 104,000 cells/mL, and decreased from 178,000 at 5 DIM to 74,000 cells/mL at 14 DIM. Proportion of SCCel > 200,000 cells/mL was 27.5. Heifers calving in the period April - June had highest SCCel. In total, 117,496 monthly SCC were measured. A multilevel regression analysis revealed that an increase of the natural log-transformed SCCel (LnSCCel) by one unit on average resulted in an increase of test-day natural log-transformed SCC (LnSCC) by 0.22 unit. The impact of LnSCCel on LnSCC depended on when LnSCCel was measured; an elevated LnSCCel at 14 DIM was more consequential than an equally elevated LnSCCel at 5 DIM. The probability of having a test-day SCC > 200,000 cells/mL during the first lactation, also increased with an increasing LnSCCel. The negative effect of an elevated LnSCCel was still present, although to a lesser extent, in heifers with a second test-day SCC less than or equal to 50,000 cells/mL. This study indicates that udder health problems in heifers in early lactation have a high prevalence and stresses that heifers should have a low SCCel, because an elevated SCCel will negatively influence test-day SCC during the whole first lactation.