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. 2023 Jun 9. Online ahead of print. doi: 10.1016/j.vaccine.2023.06.022

Table 5.

The themes and codes of the interviews that managed according to Health Belief Model.

Themes Sub-themes Total number of codes
(Perceived Barriers) What is the reason you refused to be vaccinated at first place?
Distrust The commercial intentions of pharmaceutical companies 32
The political preferences of the ministry of health 27
Constantly updated and changing processes regarding preventive measures and treatment modalities 23
Powerful institutions’ conflict of interests 23
Tendency to believe in conspiracy theories 22
Wait & see approach 18
The discovery of COVID-19 vaccines in a short time 11
Disbelief in COVID-19 or the pandemic 11
Purposeful fear mongering 11
Vaccination consent process 9
Distrust towards health governing institutions 6
Only emergency use approval of COVID-19 vaccines 5
Distrust to the country that released the COVID-19 vaccine 2
Fear of uncertainty Conflicting news about effectiveness of COVID-19 vaccines 51
Unforeseen side effects of COVID-19 vaccines 48
Constantly updated and changing processes regarding preventive measures and treatment modalities 28
Equal weight given to vaccinated and unvaccinated people when they get infected with COVID-19 16
The uncertainty regarding the number of booster doses 10
Pregnancy-related reasonsf 5
The concerns regarding their personal immunity 3
Immune-confidence & Spirituality Trust in their immune system to overcome the virus 15
Belief in the ability to heal after COVID-19 disease 11
Use of immune-supportive medications 5
Belief in spiritual powers that provides protection against diseases 4
The media exposure Confusion created by social media 17
Confusion created by the mainstream media 7
Disturbing social pressure By physicians or other co-workers 10
By members of their family 8
By their close friends 1
Obstinacy Pure stubborn attitude towards the pressure to vaccinate 4