The purpose of this cross-sectional study was to examine relationships betw
een belief in vaccine receipt, motivations for trial participation, and sid
e effects in phase I vaccine trials. Anonymous questionnaires were complete
d by 125 active vaccine volunteers at two vaccine evaluation sites. Partici
pants believing they had received the vaccine reported more side effects (p
< .01), were less likely to report knowing someone with HIV/AIDS as a moti
vation for trial participation (p < .01), and endorsed greater concern abou
t becoming HN-infected as motivation for participation (p < .05). Results i
ndicate that inferences made by trial participants in vaccine trials should
be identified and addressed, and that greater efforts for maintaining the
blinded nature of vaccine trials and educating trial participants about the
meaning of side effects are warranted.