🕒Vaccination

💉Vaccinations are by appointment only.👶

🟢As a general rule,please make your reservations online via the external link provided.For infant checkups and vaccinations after the 1-month checkup, simply follow the numbered steps starting from ①. You can refer to the demo screen below for guidance.
You do not need to research the complex and frequently changing combinations of vaccines. We will proceed with simultaneous vaccinations to ensure the shortest and most efficient schedule.
While we ask that you make an appointment through our online booking system,we recommend confirming your schedule in advance if you have recently moved, transferred from another clinic, or are unsure of your vaccination history. Please have your Maternal and Child Health Handbook ready, and contact us by phone at 018-831-3012, or visit the outpatient reception desk directly. If you are using the inquiry form, please attach a photo of the relevant open page of your Maternal and Child Health Handbook showing the applicable vaccination records.

🌿• Routine vaccination (Publicly funded, no cost to the patient

•Pneumococcal vaccine
• BCG
• Hib vaccine (Haemophilus influenzae type B)
• Pentavalent vaccine (Diphtheria, Pertussis, Tetanus, Polio, Hib)
• Hepatitis B vaccine
• MR vaccine (Measles, Rubella)
• Rubella vaccine
•Japanese encephalitis vaccine
• Varicella vaccine
•Rotavirus vaccine
•HPV vaccine (Human papillomavirus) [Gardasil®, Silgard 9®]

🌿Optional vaccination

• Influenza vaccine (seasonal)
• Mumps vaccine
• Rotavirus vaccine
• Meningococcal vaccine (quadrivalent: A, C, W, Y) [MenQuadfi®]
• Rabies vaccine [Rabipur®]
• Hepatitis A vaccine [Aimmugen®]
• Pneumococcal polysaccharide vaccine (PPSV23) [Pneumovax®]
• Herpes zoster vaccine [Shingrix®]
• DTP vaccine (Diphtheria, Tetanus, Pertussis) [Triphibic®]
• Inactivated polio vaccine [Imovax®]

📌Recommendation for Booster Vaccination of DTP and Polio before Entering Elementary School (from August 2018)🌿

📌 As of March 2024, children in Japan receive four doses of the DPT-IPV vaccine (Diphtheria, Pertussis, Tetanus, Polio) as part of the routine immunization schedule by around 18 months of age. However, studies have shown that immunity acquired through vaccination gradually wanes, and children may become susceptible to diseases such as pertussis before entering elementary school. As of 2025, Japan is experiencing a large outbreak of pertussis. Since August 2018, the Japan Pediatric Society has recommended a fifth dose of the DTP vaccine (Diphtheria, Pertussis, Tetanus) and the polio vaccine for children before school entry. Additionally, instead of the routine DT vaccine (Diphtheria, Tetanus) given at ages 11–12, children may optionally receive the DTP vaccine.
If you wish to receive the optional DTP and polio vaccines, please select “Other Vaccines” in the online calendar and write the vaccine names in the remarks column.Latest updates on vaccinations “Vaccination Up to Date” page.

🌈HPV Vaccine – Cervical Cancer Q&A(Ministry of Health, Labour and Welfare)🌸

🌷 Over 95% of cervical cancer cases are caused by infection with human papillomavirus (HPV), which is primarily transmitted through sexual contact.
•HPV vaccines do not eliminate existing infections or cure lesions, so vaccination is recommended before the onset of sexual activity.
• HPV is associated not only with genital warts (condyloma acuminata) in both men and women, but also with at least 90% of anal cancers and 40% of vaginal, vulvar, and penile cancers.
• HPV vaccines can prevent HPV infection. Our clinic offers both quadrivalent and 9-valent HPV vaccines.As of July 2025, the quadrivalent vaccine is used only for optional vaccination in males, while nearly all females receive the 9-valent vaccine.
Pleasesee thefull article for more information.

💻 Abrysvo® (RSV Maternal Immunization Vaccine) 🩺

👨‍👩‍👧 RSV (respiratory syncytial virus) is a leading cause of pneumonia and bronchiolitis in infants, with over 30,000 hospitalizations annually in Japan. Infants aged 1–2 months are particularly vulnerable, making early prevention essential.
「アボリスボ」は妊娠24～36週の妊婦さんに1回0.5mLを筋注することで、赤ちゃんに抗体が引き継がれ、生後すぐからRSウイルスによる呼吸器疾患を予防します。
有効性は、生後3か月までの重症感染を約82％予防、生後6か月まででも約69％の効果が確認されています。

🟢注射部位の痛みなどは軽度〜中等度が多く、安全性にも問題は認められていません。当院でも接種を行いますが、かかりつけの産婦人科で取り扱いがない、かつ、産婦人科医より他院で接種してよいと話された場合にのみ行います。予約システムの任意接種の項目を選び、備考欄にアボリスボ希望と記載し、接種予約日の妊娠週数を記載して下さい。

References:　• Japan Pediatric Society – Position on RSV Maternal Immunization Vaccine (external link)
• Pfizer – RSV Disease Prevention with Vaccines (external link　

•  Medical Links
●Recommended Immunization Schedule by the Japan Pediatric Society (Revised May 2025) (external link)
●RS ウイルス母子免疫ワクチン（アブリスボ®筋注用）が接種可能となりました！（改定版）日本産婦人科学会　（外部リンク）
●女性を脅かす感染症 - 公益社団法人 日本産科婦人科学会　日本産婦人科学会（外部リンク）
●Changes in the Immunization Schedule Recommended by the Japan Pediatric Society – April 1, 2023 (English version) (external link)