The bridge fell silent at 2:40 pm to mark the moment when Khalid Masood began mowing down pedestrians, killing three.
Masood then fatally stabbed a policeman in a courtyard on the grounds of Parliament.
Police say Masood, a native Briton, was inspired by extremist ideology, but that there's no evidence he had direct links to the Islamic State group or al-Qaida,
Nurses and doctors from St Thomas' hospital, where many of the injured were treated, joined the vigil on the bridge, which was closed for the event.
Hundreds of members of the Ahmadiyya Muslim Youth Association wore T-shirts with the message "I am a Muslim, ask me anything".
Zafir Malik, an imam from the association, said the group wanted to show the attack had nothing to do with Islam.
"We're here to show that we are united with our fellow countrymen and remembering those who have fallen, especially (police constable) Keith Palmer," he said. "We are here and showing our solidarity for the country."
Detective Superintendent John Crossley said "in excess" of 35 people were hurt in the March 22 attack, with injuries ranging from cuts and bruises to "extensive bone fractures."
"The driver mounted the pavement twice in an apparently deliberate attempt to target pedestrians, before mounting the pavement for a final time and crashing his vehicle into the east parliament gates of the Houses of Parliament," Crossley said.
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