Immunizations
in the table below indicates an example of the recommended age for immunization. Please consult your regular physician concerning the immunizations your child will receive and the schedule. The numbers (1, 2, etc.), indicate the number of times the vaccine has been administered. (For example, 1 means “1st time” and 2 means “2nd time.”)
| Type | Vaccine | Infancy | Late Infancy/Preschool Period | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2-months | 3-months | 4-months | 5-months | 6-months | 7-months | 8-months | 9-months and older | 12-months and older | 15-months and older | 18-months and older | |||
| Routine immunizations | Haemophilus Influenzae type b(Hib) | ① | ② | ③ | ④ | ||||||||
| Streptococcus pneumoniae | ① | ② | ③ | ④ | |||||||||
| Hepatitis B | ① | ② | ③ | ||||||||||
| Rotavirus | Monovalent | ① | ② | ||||||||||
| Pentavalent | ① | ② | ③ | ||||||||||
| DPT-IPV | ① | ② | ③ | ④ | |||||||||
| DPT-IPV-Hib | ① | ② | ③ | ④ | |||||||||
| BCG | ① | ||||||||||||
| Measles and Rubella(MR) | ① | ||||||||||||
| Varicella | ① | ② | |||||||||||
| Japanese Encephalitis | |||||||||||||
| Diphtheria and Tetanus(DT) | |||||||||||||
| Diphtheria and Human papilloma virus (HPV) | Bivalent Quadrivalent |
||||||||||||
| Nonavalent | |||||||||||||
| Optional immunizations | Mumps | ① | |||||||||||
| Influenza | Every year (in October, November, etc.) | ||||||||||||
| COVID-19 | Every month (in X month, etc.) | ||||||||||||
(*) The example schedule for voluntary vaccination is a recommendation by the Japan Pediatric Society.
(*) For the Haemophilus influenzae type b (Hib), Quadrivalent (DPT-IPV), and Pentavalent (DPT-IPV-Hib) vaccines, starting from April 1 of the 6th year of Reiwa, it will be possible to receive the Pentavalent (DPT-IPV-Hib) vaccine. Those who began their vaccinations with the Haemophilus influenzae type b (Hib) vaccine and the Quadrivalent (DPT-IPV) vaccine by March 31 of the 6th year of Reiwa can complete their vaccinations up to the fourth dose with the Haemophilus influenzae type b (Hib) vaccine and the Quadrivalent (DPT-IPV) vaccine.
| Type | Vaccine | Late Infancy/Preschool Period | School Child | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2-years | 3-years | 4-years | 5-years | 6-years | 7-years | 8-years | 9-years | 10-years or older | ||||||
| Routine immunizations | Haemophilus Influenzae type b(Hib) | |||||||||||||
| Streptococcus pneumoniae | ||||||||||||||
| Hepatitis B | ||||||||||||||
| Rotavirus | Monovalent | |||||||||||||
| Pentavalent | ||||||||||||||
| DPT-IPV | ||||||||||||||
| DPT-IPV-Hib | ||||||||||||||
| BCG | ||||||||||||||
| Measles and Rubella(MR) | ② | |||||||||||||
| Varicella | ||||||||||||||
| Japanese Encephalitis | ①② | ③ | ④9-12 years of age (2nd term) | |||||||||||
| Diphtheria and Tetanus(DT) | ①11-12 years of age (2nd term) | |||||||||||||
| Diphtheria and Human papilloma virus (HPV) | Bivalent Quadrivalent |
①②③12-13 years of age | ||||||||||||
| Nonavalent | ①②(③)12-13 years of age | |||||||||||||
| Optional immunizations | Mumps | ② | ||||||||||||
| Influenza | Every year (in October, November, etc.) | From 13 years of age | ||||||||||||
| COVID-19 | Every month (in X month, etc.) | |||||||||||||
(*) For rotavirus, vaccination is either an orally administered attenuated human rotavirus vaccine (monovalent) or an orally administered attenuated pentavalent rotavirus vaccine
(*) When receiving the nonavalent HPV vaccine, a total of 2 or 3 doses will be administered. Those who receive their first dose before turning 15 years old can complete the vaccination with 2 doses.
* For more information on immunizations National Institute of Infectious Diseases (https://www.niid.go.jp/niid/ja/schedule.html).
Immunizations
− CONTENTS −
①Types of Immunizations (as of April 1, 2024)
When receiving an immunization
Your child may not be able to receive an immunization
After receiving an immunization
If your child cannot receive the immunization on the assigned date and time
If the pregnant woman's rubella virus antibody levels are low during pregnancy
①Types of Immunizations (as of April 1, 2024)
There are two types of immunizations: routine immunizations performed by municipalities in accordance with the Preventive Vaccination Act (efforts should be made for the target individuals and their guardians to receive vaccinations), and optional immunizations that are administered if desired. For details on the types of immunizations provided by municipalities and supplementary information, check with your municipality (city, ward, town or village).
●Routine immunizations
Childhood streptococcus pneumoniae, Diphtheria, Pertussis (Whooping cough), Tetanus, Polio, Hib infection (DPT-IPV-Hib or Diphtheria, Pertussis, Tetanus, Polio (DPT-IPV) or Diphtheria, Pertussis, Tetanus (DPT), Polio, Hib infection), Measles, Rubella (MR), Japanese encephalitis, BCG (Tuberculosis), Human Papillomavirus infection (HPV), Varicella (Chickenpox), Hepatitis B, Rotavirus
● Primary optional immunizations
Mumps, influenza, COVID-19
* The underlined immunizations involve the use of an attenuated bacteria/viruses or live-virus vaccines containing an attenuated bacteria/virus. Note that a wait of 27 days (four weeks) is required before the next immunization.
* If necessary, it is possible to administer multiple vaccines simultaneously. Discuss this with your regular physician.
Information on routine vaccinations for each vaccine conducted based on the Vaccination Law is provided.
Information regarding COVID-19 vaccine administration, announcements, and vaccine details are included.
When to receive immunizations
Before receiving an immunization, take your child's temperature, carefully read the pre-examination form and fill out the required items on the form. When you go, also take your Maternal and Child Health Handbook. The child should be accompanied by a guardian who is knowledgeable about the child's health. Speak with your your municipality, children and family centers, public health centers, municipal health centers, and your regular healthcare provider.
When receiving an immunization
Before receiving an immunization, take your child's temperature, carefully read the pre-examination form and fill out the required items on the form. When you go, also take your Maternal and Child Health Handbook. The child should be accompanied by a guardian who is knowledgeable about the child's health. Speak with your doctor if you have any concerns.
Your child may not be able to receive an immunization
If your child is in poor physical condition, receiving an immunization could make an illness worse or cause severe side effects. Your child may not be able to receive an immunization in the following cases.
❶Your child has a fever or an acute illness
❷There was an abnormality after receiving a similar vaccination in the past
❸Your child has an allergy to a certain drug, food, etc.
Other factors may also make it inappropriate for your child to receive an immunization. In addition, since it may be okay to receive the immunization while ill, speak with a regular physician who is knowledgeable about your child's health.
After receiving an immunization
Since serious side effects often present themselves within 30 minutes after receiving an immunization, during that time, observe your child at the medical institution or other location where he/she received the immunization, or make arrangements so that you can contact a doctor quickly. You do not have to refrain from bathing your child, but you should avoid directly cleaning the location of the injection.
Your child should also avoid intense exercise on the day of the vaccination. If you notice something unusual, such as a high fever or twitching, have a doctor examine the child immediately.
If your child's health is harmed by an immunization, there is a compensation program. In addition, the immunization will be recorded in your Maternal and Child Health Handbook's vaccination log and you will receive an immunization certificate. Make sure to store these documents, as they may be used in other instances, such as when assessing your child's health for entry into a school or when traveling overseas.
* Relief System for Injury to Health with Vaccination (for routine vaccinations administered by a municipality in accordance with the Preventive Vaccination Act)
** Relief System for Sufferers from Adverse Drug Reactions (http://www.pmda.go.jp/kenkouhigai_camp/index.html)(For optional vaccinations requested by the recipient)
If your child cannot receive the immunization on the assigned date and time
There are several immunizations which your child must receive. If your child cannot receive an immunization on the assigned date, speak with your regular physician.
If the pregnant woman's rubella virus antibody levels are low during pregnancy
If it is determined during pregnancy that the rubella virus antibody levels are low, it is advisable to consult with your regular healthcare provider about receiving the vaccine after childbirth.