Objective: A cross-sectional study based on hemodialysis records among patients in 12 hemodialysis centers. Vaccination records from 2018 were checked & verified in all individuals. Descriptive statistics & chi-square analysis among selective clinical characteristics were performed. Methods: A total of 550 hemodialysis patients were included in this study. 67.5% have completed their Hepatitis B vaccination. 59.1% of patients had Tetanus Toxoid 59.1% but only 46.2% had pneumococcal vaccine. Influenza vaccinations were low (2018, 11.1%; 2019, 8.4% and 2020, 8.9%). On further analysis, there are significantly more females who received Tetanus Toxoid (66.0% vs. 50.2%, p<0.01). All patients vaccinated with Hepatitis B showed significant Anti-HBs titers. Rest of the findings did not show statistical significance. Results: There is still a significant percentage of patients who did not receive the recommended vaccinations. Lack of access even prior to the pandemic last year, financial constraints and misconceptions on vaccines may have played important roles. These have to be addressed in order to increase vaccine confidence among hemodialysis patients. Conclusions: Objective: Infections is one of the most common causes of morbidity and mortality in dialysis patients. Vaccinations have been proven to give seroprotection & reduce incidences of infection. This study investigates vaccination rates among out-patient hemodialysis patients in two provinces in the Philippines. It will also determine Anti-HBs seropositivity among those vaccinated with Hepatitis B. Methods: A cross-sectional study based on hemodialysis records among patients in 12 hemodialysis centers. Vaccination records from 2018 were checked & verified in all individuals. Descriptive statistics & chi-square analysis among selective clinical characteristics were performed. Results: A total of 550 hemodialysis patients were included in this study. 67.5% have completed their Hepatitis B vaccination. 59.1% of patients had Tetanus Toxoid 59.1% but only 46.2% had pneumococcal vaccine. Influenza vaccinations were low (2018, 11.1%; 2019, 8.4% and 2020, 8.9%). On further analysis, there are significantly more females who received Tetanus Toxoid (66.0% vs. 50.2%, p<0.01). All patients vaccinated with Hepatitis B showed significant Anti-HBs titers. Rest of the findings did not show statistical significance. Conclusions: There is still a significant percentage of patients who did not receive the recommended vaccinations. Lack of access even prior to the pandemic last year, financial constraints and misconceptions on vaccines may have played important roles. These have to be addressed in order to increase vaccine confidence among hemodialysis patients.