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7 and 6.3 times more likely to be immunized (p less then .001) compared to those who were unaware. Residents who were confident that it is effective in preventing influenza and its complications were 3.6 times more like to be vaccinated while those who were confident that the vaccine is safe were 4.5 times more likely to be immunized (p less then .001). Seasonal influenza coverage in Al Ahsa remains low despite the availability of free immunization in the government health facilities. Awareness about vaccine availability and confidence