COVID-19 is a highly contagious disease that caused a worldwide pandemic in 2020. Medical students are public
advocates for COVID 19 vaccination to achieve herd immunity. Our objective is to ascertain the level of knowledge,
attitude, and practice toward COVID-19 immunisation among medical students in Malaysia. The online study included four public universities in Peninsular Malaysia: Universiti Putra Malaysia, International Islamic University
Malaysia, Universiti Sains Malaysia and Universiti Sains Islam Malaysia. Data collected include sociodemographic
characteristics, history of COVID-19 infection, knowledge, attitude and practice towards COVID-19 immunisation. Analytical statistics were analysed with BM Statistical Package for the Social Science (SPSS) v27.0 using Pearson chi-
square or Fisher’s exact test (significant if p < 0.05). From the total of 427 respondents, 60.2% had good knowledge
whereby clinical students 67.0% have a higher proportion of good knowledge as compared to preclinical students 53.5% (p = 0.004). Respondents in the age group of 21 to 24 years old (p < 0.001) and 25 to 29 years old (p = 0.016),
and Indian ethnicity (p = 0.006) were more likely to have good knowledge. Respondents registered in Malaysia’s
National COVID-19 vaccination program were considered as having a positive attitude (N = 264, 61.8%). A vaccination rate of 100% was observed. In conclusion, 60.2% of medical students had good knowledge, 61.8% had a positive
attitude and 100% were vaccinated in these four public medical schools in Malaysia. Sociodemographic factors (age
group and Indian ethnicity) have an association with only good knowledge but none with the level of attitude and
practice towards COVID-19 immunisation