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Background The WHO (world health organization) announced COVID-19 pandemic as public health emergency of international concern on January 2020. This pandemic has declined the acceptance of pediatric preventive care, like immunization coverage among under 5 children. This was because of total lockdown and fear among beneficiary and engagement of health care workers with different task related to pandemic. The aim of this study was to find out the routine immunization status of under five children registered in urban and rural anganwadis in pre and during COVID-19 pandemic.