The study of online decision-making problems that leverage contextual information has drawn notable attention due to their significant applications in fields ranging from healthcare to autonomous systems. In modern applications, contextual information can be rich and is often represented as a matrix. Moreover, while existing online decision algorithms mainly focus on reward maximization, less attention has been devoted to statistical inference. To address these gaps, in this work, we consider an online decision-making problem with a matrix context where the true model parameters have a low-rank structure. We propose a fully online procedure to conduct statistical inference with adaptively collected data. The low-rank structure of the model parameter and the adaptive nature of the data collection process make this difficult: standard low-rank estimators are biased and cannot be obtained in a sequential manner while existing inference approaches in sequential decision-making algorithms fail to account for the low-rankness and are also biased. To overcome these challenges, we introduce a new online debiasing procedure to simultaneously handle both sources of bias. Our inference framework encompasses both parameter inference and optimal policy value inference. In theory, we establish the asymptotic normality of the proposed online debiased estimators and prove the validity of the constructed confidence intervals for both inference tasks. Our inference results are built upon a newly developed low-rank stochastic gradient descent estimator and its convergence result, which are also of independent interest.