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Many reports recently showed the worried outcomes such as neonatal pneumonia, preterm birth, postpartum infections to the mother, and COVID-19 vertical transmission to the foetus happened in pregnancy [1,5-6]. COVID-19 vaccination is an effective and safe approach to controlling the pandemic and decreasing associated morbidity and mortality [2]. Pregnant women are more likely develop more severe symptoms of COVID-19 than their non-pregnant peers [3]. Also, there is still less study conducted in Malaysia to assess COVID-19 vaccine acceptance among pregnant women. This cross-sectional study aimed to determine the COVID-19 vaccine acceptance rate among pregnant women in Hospital USM. Initially, 367 respondents estimated using Raosoft Software but only 254 were recruited using simple random sampling method. The link of the questionnaire was given through a WhatsApp platform. The questionnaire used were adapted from Goncu Ayhan [4] consists of three parts: sociodemographic data, acceptance rates of COVID-19 vaccine and the reasons for refusing the COVID-19 vaccine. The questionnaire was translated to Bahasa Malaysia, checked by the Language Unit USM, and validated by the experts, three nursing lecturers. The Cronbach Alpha result from the pilot test was 0.744. The data were analysed using IBM SPSS system version 26.0 and the significant level (α value) was set at 5% for all statistical analyses. All null hypotheses will be rejected if (p |