🕒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.
Abrysvo is administered as a single 0.5 mL intramuscular injection to pregnant women between 24 and 36 weeks of gestation. The antibodies are passed to the baby, providing protection against RSV-related respiratory illness from birth. Vaccination after 28 weeks of pregnancy is expected to offer higher efficacy. Studies show that Abrysvo prevents approximately 82% of severe infections up to 3 months of age and about 69% up to 6 months.

🟢 Injection site pain is generally mild to moderate, and no significant safety concerns have been reported. Our clinic offers this vaccine only if your obstetrician does not provide it and has approved administration at another facility. To book, select “Optional Vaccination” in the reservation system, write “Abrysvo” in the remarks column, and include your gestational week on the scheduled vaccination date.

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)
●● Changes in the Immunization Schedule Recommended by the Japan Pediatric Society – April 1, 2023 (English version) (external link)