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This paper investigates the COVID-19 vaccine diplomacy of the United States and China in Vietnam and conceptualises Hanoi’s practical responses. The deployment of vaccine diplomacy is closely associated with US-China strategic rivalry and is thus labelled as proxy competition in this paper. This paper found that both Washington and Beijing leveraged vaccine diplomacy to achieve general strategic objectives and specific foreign policy objectives in relations with Vietnam. For the USA, vaccine donation consolidated Hanoi’s strategic trust in Washington during tough times. Meanwhile, despite widespread mistrust and suspicion regarding the quality and efficacy of Chinese-made vaccines amongst Vietnamese people, China’s vaccine donation to Vietnam could still prevent Hanoi from further spiraling into the US-led anti-China coalition. Nevertheless, Vietnam has constantly been at a crossroads, for it not only strives to respond reasonably to the USA and China at the international level but also has to accommodate the Vietnamese public’s policy preferences at the domestic level.

US-China COVID-19 vaccine diplomacy competition in Vietnam: where vaccines go, influence may follow