This study demonstrated a high COVID-19 vaccine intention and highlighted the reasons for vaccine refusal, including needle fears, susceptibility to vaccine efficacy, halal issues, and concern about vaccine side effects. Needle fears, halal concerns, vaccine side effects, and the perception that vaccines could not protect against COVID-19 disease emerged as reasons why a small portion of the respondents (n = 814, 7.23%) are hesitant to get vaccinated. Perceived higher benefits of COVID-19 vaccine (OR = 2.91, 95% CI: 2.57–3.28), perceived severity of COVID-19 disease (OR: 1.41, 95% CI: 1.24–1.60), and perceived susceptibility of the current pandemic (OR = 1.21, 95% CI: 1.06–1.38) were significantly predicted vaccination intend. Those with a high score of perceived susceptibility to the COVID-19 vaccine were significantly predicted vaccine hesitancy (OR = 0.18, 95% CI: 0.16–0.21). This study indicated that all HBM constructs predict vaccine intention (P< 0.05). Among 11,611 respondents, 92.99% (10.797) would like to get vaccinated. This is a cross-sectional online survey using the Health Belief Model (HBM) to assess vaccine intent predictors and describe reasons for hesitancy among Jakarta residents. This study examined vaccine intention and identified reasons for vaccine hesitancy in the capital city of Jakarta. Since January 2021, Indonesia has administered a nationwide COVID-19 vaccination.
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