A forthcoming vaccine may curb the COVID-19 pandemic; however, anti-vaccination attitudes may limit its uptake. Data collected from different samples in three time points prior to (n = 840) and four time points during (n = 1543) the COVID-19 pandemic were analyzed to provide a snapshot of the trends in anti-vaccination attitudes related to the occurrence and persistence of COVID-19. The total sample (N = 2383) consisted of 38.8% female, 72.2% White/Caucasian, 12.50% Black/African American, 5.10 % Asian, 5.10% Hispanic/Latino participants, whose average age was 37.67 years old (SD = 11.24). Independent samples t-tests revealed that worries about unforeseen future effects, concerns about commercial profiteering, and preference for natural immunity were higher during COVID-19 than they were prior to COVID-19, all ts > 15.00, ps < .0001, ds = .61 - .73. Planned contrasts showed that the same three anti-vaccination attitudes increased linearly alongside the persistence of COVID-19, all ts > 11.18, ps < .0001, 2p = .08 - .09. However, mistrust of vaccine benefit was lower during COVID-19 than prior to COVID-19, t(2381) = -6.40, p < .0001, d = .27; and it was relatively stable during the COVID-19 pandemic, t(1539) = -1.66, p = .10, 2p = .002. These results highlight the potential need to address specific anti-vaccination attitudes to promote the uptake of a COVID-19 vaccine. Limitations of the study are also discussed.