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Table 2 Physician-reported reasons why patients did not receive pertussis vaccinations despite their recommendation

From: Pertussis vaccination in adults: a behavioral study of physicians from the US, France, and Germany

Physician-reported reasons, n (%)

Overall (N = 709)

US (n = 364)

France (n = 171)

Germany (n = 174)

Vaccine hesitancy in general

471 (66)

269 (74)

87 (51)

115 (66)

Patient does not feel at risk

432 (61)

238 (65)

92 (54)

102 (59)

Vaccine fatigue post-COVID-19

365 (51)

203 (56)

76 (44)

86 (49)

Fear of side-effects

333 (47)

183 (50)

62 (36)

88 (51)

Forget to be vaccinated after prescription was received

277 (39)

105 (29)

114 (67)

58 (33)

Prioritization of other vaccines(s)

244 (34)

154 (42)

43 (25)

47 (27)

Lack of belief in the efficacy of the vaccine

170 (24)

109 (30)

26 (15)

35 (20)

Time required to be vaccinated

118 (17)

60 (16)

29 (17)

29 (17)

Vaccine too expensive

108 (15)

97 (27)

3 (2)

8 (5)

Pertussis vaccination not required for patient

102 (14)

60 (16)

20 (12)

24 (14)

  1. Response to the study question ‘Why did some of your patients not get vaccinated with Tdap/Tdap-IPV after your recommendation?’
  2. Tdap, tetanus-diphtheria-acellular pertussis vaccine with reduced antigenic doses of diphtheria and acellular pertussis