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We test the hypothesis that COVID-19 vaccine hesitancy is attributable to 'distrustful complacency' – an interactive and not just additive combination of concern and distrust. Across two studies, 9695 respondents across 13 different parts of Britain reported their level of concern about COVID-19, trust in the UK government, and intention to accept or refuse the vaccine. Multilevel regression analysis, controlling for geographic area and relevant demographics, confirmed the predicted interactivedoi:10.31234/osf.io/y9amb fatcat:fbzfxjgynjexrkoafqk45skqjy