Table 4.

Vaccine hesitancy categories represented by specific codes.

Vaccine hesitancy category	Framework domain	Framework code	Exemplar quote
Vaccine dissent Those who are not in favor of vaccines in general	Contextual influences	Religion, culture, gender or socio-economic	Well, [taking the vaccine] has a lot to do with my culture. I believe I was raised not to really take some medication and I don't like medication and that's just me personally (Staff).
Vaccine deliberation Those engaged in watchful waiting, need for more data on vaccine safety	Barriers and facilitators	Personality traits/characteristics	So I guess I would describe myself as not an early adopter of anything, so I'm, I'm not the first one to buy anything. Try anything. I basically like to sit back and I may be interested in something, a product, or a service or medication, but I'll sit back and watch what happens and see if there's any unintended consequences of for the rollout of whatever the product or service, a vaccine or medication happens to be (Veteran).
Vaccine distrust Distrust about vaccines grounded in distrust in government and systems	Vaccine-specific issues	Vaccine development	Uh, yeah, so I know that there is, you know, a lot of different trials or whatever they do to approve something so. And I guess when you see that something’s FDA approved, you know it went through the correct channels, the correct process to get approved. So when it wasn't, it's like what was what was different this time. What was potentially skipped (Staff).
Vaccine indifference Those who say they are not concerned about COVID-19	Barriers and facilitators	COVID susceptibility/exposure (perceived, heuristic)	No, I don't expect that I'll get it. I think if I was gonna get it I would have had it by now (Veteran).
Vaccine skepticism This represents a fears of illness, unnatural substances, and/or elite conspiracy	Contextual influences	Historical influences	And then there's always a fear which I know could be very far-fetched. But there's always a fear like what's in this injection, like is it a tracker? Is it? You know what I mean? And then you think of things you know, being a nurse is when you think of things like the Tuskegee syphilis trial and things like that… I know that I'm going to get the same vaccine as the Caucasian sitting next to me, but you just have that fear. You just don't know (Staff).