Health inequalities represent any measurable differences in health across individuals. When these differences are preventable, unjust or unnecessary, they are considered health inequities. 1 Since the beginning of COVID-19 vaccination, in December 2020, racial and ethnic disparities in vaccine uptake have been observed in Canada and other countries. [2][3][4] Studies have shown lower vaccine uptake in areas with a higher proportion of minority ethnic groups: certain racialized populations were less vaccinated or more hesitant to receive a COVID-19 vaccine than others. [5][6][7] The ongoing inequalities faced by racialized populations have been exacerbated and amplified by the pandemic. 8 Infections, hospital admissions and deaths due to COVID-19 have disproportionately affected these populations. 9 Therefore, to inform the development of equitable vaccination targeting programs across all populations, it is crucial to understand the existing barriers to vaccine uptake in ethnic and racialized groups by measuring and monitoring the possible structural and systemic disparities in vaccination coverage. However, few studies have examined actual COVID-19 vaccination coverage by racial group in Canada. Nationally representative evidence on racial inequal ities in vaccine uptake is limited. Since Canadian vac-cination registries do not collect information on race, survey data are the best source for collecting these data from a large sample. In our previous analysis measuring inequalities in COVID-19 vaccine uptake and vaccination intent based on data collected from June to September 2021 by the Canadian Community Health Survey (CCHS), the small number of observations among racialized and Indigenous populations precluded a detailed analysis of vaccination coverage. 10 As the CCHS interviewed more people over time, combining collection cycles from June 2021 to June 2022 accrued enough participants to compare vaccination coverage between specific subgroups. Therefore, we aimed to compare COVID-19 vaccination coverage for at least 1 dose between adult Indigenous, racialized and White people in Canada.