Akimova was born on 5 May 1922 to a Russian peasant family in the village of Skopinsky within the Ryazan Governorate of the Russian SFSR. After graduating from secondary school she entered history classes at the Moscow Pedagogical Institute in addition to nursing courses. After the German invasion of the Soviet Union in 1941 she applied to enlist in the Red Army but her request was initially denied and she was sent to assist in construction of defensive fortifications around Mozhaysk.