Vaccinations in Japan: Schedules for Children and Adults

Vaccinations in Japan run on two tracks: routine vaccinations (定期接種, teiki sesshu), which your municipality must provide under the Immunization Act to residents in set age and risk groups, and voluntary vaccinations (任意接種, nin'i sesshu) outside that program.¹² Health insurance pays for neither, so whether a vaccine is routine for you, at your age and in your municipality, decides most of what you pay.³⁴

Confirm current details with official sources

Procedures, fees, and requirements can change. Confirm current details at the Ministry of Health, Labour and Welfare (MHLW) vaccination pages and with your municipality's health center. This article is general information, not medical advice; for your specific case, consult a licensed pediatrician about a child's catch-up schedule, a physician about vaccination during pregnancy or with a weakened immune system, or a travel-medicine clinic about travel vaccines.

Overview

The Immunization Act (予防接種法, Yobō Sesshu Hō) is the legal basis for the system. It requires the mayor of each municipality to carry out routine vaccinations for people living there who fall in target groups set by cabinet order.¹

Routine vaccination follows registered residence, not nationality. The Act ties the mayor's duty to people living in the municipality and sets no nationality condition.¹

MHLW's implementation guideline has municipalities build their vaccination lists from the 住民基本台帳 (jūmin kihon daichō, Basic Resident Register) and send notices in multiple languages, noting that foreign nationals are a growing share of routine-vaccination targets (as of 2026-10-01; confirm current figures with the Ministry of Health, Labour and Welfare).⁵ Registering your address at the municipal office after you move in is what puts you and your children on the list that receives vaccination notices.⁵

The municipality pays the cost of routine vaccinations.¹ The Act lets it collect actual cost from recipients or guardians, except from people who cannot pay for economic reasons; MHLW's guideline counts municipal-tax exemption, public assistance, and support benefits for returnees from China among those reasons (as of 2026-10-01).¹⁵

Vaccinations sit outside health insurance. Minato Ward's National Health Insurance FAQ lists vaccination among items not treated as illness, and MHLW's influenza page states that health insurance does not apply to voluntary influenza vaccination.³⁴

This article covers residents registered in a Japanese municipality: parents following the childhood schedule, families arriving with a foreign vaccination record, and adults in the routine age groups or paying for voluntary shots.

Routine vs. voluntary vaccinations

Every vaccination in Japan is either routine under the Immunization Act or voluntary. Nagano Prefecture's summary puts the rule plainly: any vaccination other than a routine one is voluntary and paid in full by the recipient in principle, although some municipalities subsidize certain voluntary vaccines (as of 2026-09-08; confirm current figures with your municipality).²

Routine vaccinations are divided again into Category A (A類疾病) and Category B (B類疾病), each with its own purpose, cost model, and obligations.¹⁶ The diagram shows how the three tracks relate.

Term	Reading	Meaning
定期接種	teiki sesshu	Routine vaccination under the Immunization Act, run by your municipality17
任意接種	nin'i sesshu	Voluntary vaccination outside the routine program, self-paid in principle2
A類疾病	A-rui shippei	Category A disease: routine vaccinations with a duty to make efforts1
B類疾病	B-rui shippei	Category B disease: routine vaccinations for older and high-risk adults, with no duty and partial public funding16
努力義務	doryoku gimu	Duty to make efforts; not an obligation backed by a penalty1

Category A (A類): the childhood schedule and HPV

MHLW describes Category A as the vaccinations every eligible person should receive (as of 2026-10-09).⁶ The Act names diphtheria, pertussis, polio, measles, rubella, Japanese encephalitis, tetanus, tuberculosis, Hib, pediatric pneumococcal disease, and HPV, and the cabinet order adds varicella, hepatitis B, rotavirus, and RSV infection (as of 2026-10-09).¹⁸

RSV in this list means the maternal vaccine given during pregnancy, which both the cabinet order and MHLW's FAQ place in Category A (as of 2026-10-09).⁸⁶ It became routine from April 2026 (as of 2026-08-01).⁹

Eligible recipients have a duty to make efforts (努力義務) to receive Category A vaccinations.¹ It is a duty to try, not an obligation backed by a penalty.

Fukushima Prefecture summarizes the cost as free for eligible people vaccinated in their own municipality (as of 2026-04-07).⁷ That is administrative practice rather than a rule in the Act, which allows a municipality to charge actual cost to anyone except those unable to pay.¹

Category B (B類): older-adult vaccines with a copay

Category B covers seasonal influenza, pneumococcal disease in older adults, COVID-19, and shingles (as of 2026-10-09).¹⁸ COVID-19 became routine in April 2024, after a special temporary program that ran from 2021 to March 2024 (as of 2026-08-01).⁹ Shingles became routine in FY2025, Japan's fiscal year running April to March (as of 2026-10-09).¹⁰

The cabinet order sets the target groups, summarized below (as of 2026-10-01). Each vaccine has its own section under Adult vaccines.

Vaccine	Routine target	Doses	As of
Seasonal influenza	65 and over; 60–64 with severe heart, kidney, or respiratory impairment, or HIV-related immune impairment	1 per fiscal year	2026-10-018511
COVID-19	Same groups as influenza	1 per fiscal year	2026-10-0185
Pneumococcal (older adults)	Age 65; 60–64 in the same high-risk group	1, once	2026-10-018511
Shingles	Age 65 (with five-year cohorts through FY2029); 60–64 with HIV-related immune impairment	1 live or 2 recombinant	2026-10-018510

No legal duty applies to Category B. MHLW tells municipalities to state that there is no legal obligation to be vaccinated and to vaccinate only people who want it (as of 2026-10-01).⁵

Category B shots normally carry a copay that your municipality sets. MHLW describes routine influenza as paid in principle, with periods and fees that differ by municipality (as of 2025-12-19), uses the same "varies by municipality" wording for shingles (as of 2026-10-09), and describes routine COVID-19 as paid in principle (as of 2026-03-03).⁴¹⁰¹²

Low-income exemptions also differ by municipality. As examples, Okayama City charges ¥900, half its standard influenza copay, to households exempt from municipal tax and nothing to public-assistance recipients (as of 2026-10-09), and Edogawa Ward waives its pneumococcal fee for public-assistance recipients and recipients of support benefits for returnees from China (as of 2026-09-17).¹³¹⁴

Relief benefits for harm from a Category B vaccination are narrower than for Category A; the relief section below covers the difference.¹⁵

Voluntary vaccines: self-pay, with occasional municipal top-ups

Any vaccine outside the routine list, or a routine vaccine given outside its eligibility window, is voluntary (as of 2026-09-08).² Fukushima Prefecture lists the usual reasons: personal protection, international travel, routine doses missed within their window, and protecting immunocompromised people around you (as of 2026-04-07).⁷

The clinic sets the price. For voluntary influenza, MHLW says the recipient pays the full cost and that it differs by medical institution (as of 2025-12-19).⁴

Some municipalities subsidize particular voluntary vaccines (as of 2026-09-08).² Check your city or ward page before paying full price; children's influenza subsidies, covered under Common voluntary childhood vaccines below, are a clear example.

The childhood vaccination schedule

Japan's childhood schedule starts at 2 months and runs to the early teens, with most doses packed into the first two years. The national schedule is published by the 国立健康危機管理研究機構 (Japan Institute for Health Security, JIHS), the national public-health institute, alongside MHLW's rules.⁹¹⁶

Routine vaccines from 2 months to adolescence

The table combines the legal eligibility windows in the cabinet order with the standard timing and dose counts in MHLW's implementation guideline and the JIHS schedule (as of 2026-10-01; confirm current figures with your municipality or the JIHS schedule). A dose given inside the legal window is routine even when it falls outside the standard timing.

Vaccine	Legal routine window	Standard timing	Doses	As of
Hepatitis B	Under 1 year (born on or after 2016-04-01)	2, 3, and 7–8 months	3	2026-10-01859
Rotavirus, Rotarix (1-valent)	6 weeks 0 days to 24 weeks 0 days after birth	First dose from 2 months, by 14 weeks 6 days	2	2026-10-01859
Rotavirus, RotaTeq (5-valent)	6 weeks 0 days to 32 weeks 0 days after birth	First dose from 2 months, by 14 weeks 6 days	3	2026-10-01859
5-in-1 DPT-IPV-Hib (diphtheria, pertussis, tetanus, polio, Hib)	2 to 90 months (7.5 years)	3 primary doses starting at 2–7 months, 20–56 days apart; booster 6–18 months after the primary series	4	2026-10-018517
Pediatric pneumococcal (PCV20; PCV15 still allowed)	2 to 60 months	3 primary doses by 12 months, at least 27 days apart; booster at 12–15 months	4 (fewer if started later)	2026-10-01859
BCG (tuberculosis)	Under 1 year	5–8 months	1	2026-10-018518
MR (measles-rubella), period 1	12 to 24 months	Soon after the first birthday	1	2026-10-0185
MR, period 2	Age 5–6, in the year before elementary school	Same as window	1	2026-10-0185
Varicella (chickenpox)	12 to 36 months	First dose at 12–15 months; second 6–12 months later (at least 3 months)	2	2026-10-01859
Japanese encephalitis, period 1	6 to 90 months	2 doses at age 3, 6–28 days apart; booster at age 4	3	2026-10-018519
Japanese encephalitis, period 2	Age 9 to under 13	Age 9	1	2026-10-018519
DT (diphtheria-tetanus), period 2	Age 11 to under 13	Age 11	1	2026-10-01859
HPV (girls; Silgard 9 only)	Fiscal year turning 12 to fiscal year turning 16 (grade 6 to first year of high school)	Fiscal year turning 13	2 if started before age 15; otherwise 3	2026-10-0185920

The maternal RSV vaccine is also a Category A routine vaccination, but it is given to the pregnant parent; it is covered under Adult vaccines below (as of 2026-10-09).⁸²¹

The 5-in-1 combination has been usable for routine vaccination since April 2024 (as of 2026-10-09).¹⁷ JIHS records that the last lot of the older 4-in-1 DPT-IPV vaccine expired on 12 December 2025 (as of 2026-08-01).⁹

For pediatric pneumococcal disease, the guideline makes the 20-valent conjugate vaccine (PCV20) the default while allowing the 15-valent vaccine (PCV15) for the time being (as of 2026-10-01).⁵ For HPV, the only publicly funded vaccine from April 2026 is the 9-valent Silgard 9, and girls who started on a 2- or 4-valent vaccine can finish the series with it (as of 2026-03-25).²⁰⁵

Rotavirus first dose has a firm cutoff

The guideline asks clinics to give the first rotavirus dose by 14 weeks 6 days after birth, because the safety of a first dose after 15 weeks 0 days is not established (as of 2026-10-01).⁵ If your baby is close to that age when you register or move, contact your municipal health center rather than waiting for forms by mail (as of 2026-10-09).²²

People born 2 April 1995 to 1 April 2007 who did not finish four Japanese encephalitis doses, because active recommendation was suspended in 2005, can still complete them as routine until age 20 (as of 2026-08-01).⁹⁵

MHLW tells municipalities to use the 1.5-year, 3-year, and school-entry health checkups to find unvaccinated children and keep encouraging them (as of 2026-10-01).⁵

Common voluntary childhood vaccines

Several common childhood vaccines are voluntary in Japan, and your municipality decides whether to subsidize any of them (as of 2026-09-08).²⁹

Mumps (おたふくかぜ, otafukukaze) is not routine. The JIHS schedule gives an example timing of two doses, at age 1 and in the year before elementary school (as of 2026-08-01).⁹

Seasonal influenza is voluntary for children. Children under 13 receive two doses per season, at 0.25 mL from 6 months to under 3 years and 0.5 mL from 3 to under 13 (as of 2025-12-19).⁴⁹

The nasal live influenza vaccine (FluMist), approved in 2023, is for ages 2 to under 19, given as 0.1 mL in each nostril (as of 2026-08-01).⁹⁴

Clinics set their own prices for voluntary vaccines. The two university-hospital list prices below are examples that show how far prices can differ, not a market range; figures are per dose, tax included (as of 2026-01-09 and 2025-12-01).

Vaccine	Kyorin University Hospital	Nagoya City University West Medical Center	As of
Mumps	¥7,700	¥6,980	2026-01-0923 / 2025-12-0124
Influenza (first dose)	¥8,250	¥4,970 (second dose ¥2,590)	2026-01-0923 / 2025-12-0124
Varicella (outside the routine window)	¥9,900	¥8,600	2026-01-0923 / 2025-12-0124

Children's influenza subsidies show how much depends on your municipality. Two Tokyo wards illustrate the range for the 2026/27 season (as of 2026-09-15 and 2026-09-10).

Item	Suginami Ward	Minato Ward	As of
Eligible ages	6 months to third year of high school equivalent	6 months to third year of high school equivalent	2026-09-1525 / 2026-09-1026
Injectable vaccine	Up to ¥2,000 per dose (2 doses for age 12 and under, 1 for 13 and over)	¥4,500 per dose (2 doses if under 13 at the first dose)	2026-09-1525 / 2026-09-1026
Nasal vaccine (FluMist)	Up to ¥4,000, 1 dose	¥9,000, 1 dose, age 2 and over	2026-09-1525 / 2026-09-1026
Period	2026-10-01 to 2027-01-31	2026-09-24 to 2027-01-31	2026-09-1525 / 2026-09-1026
Conditions	New from FY2026; one vaccine type only	Designated clinic; bring the ward's form, ID showing a Minato address, and the boshi techo (Maternal and Child Health Handbook)	2026-09-1525 / 2026-09-1026

Missed a dose or aged out of the window

Routine status ends at the upper limit of each vaccine's legal window. After that, remaining doses are voluntary and self-paid; Sendai's newcomer guide notes that routine vaccines are free but must be paid for once the set period has passed (as of 2023-12).²⁷²

Inside the legal window but past the standard timing, a dose is still routine. MHLW tells municipalities to keep encouraging those children, except for rotavirus after 14 weeks 6 days (as of 2026-10-01).⁵

The long-term illness exception (長期療養特例, chōki ryōyō tokurei) restores eligibility in specific cases. A person who could not be vaccinated within the window because of a specified serious illness, such as severe immunodeficiency, leukemia, treatment requiring immunosuppression, or an organ transplant followed by immunosuppression, becomes eligible again for two years after that circumstance ends, or one year for older-adult pneumococcal and shingles (as of 2026-10-01).⁵⁸

The exception excludes rotavirus, RSV, influenza, and COVID-19, and some vaccines keep an upper age cap, such as BCG until age 4 and pediatric pneumococcal until age 6 (as of 2026-10-01).⁵ The municipality decides on the basis of a doctor's certificate, and the same exception also covers disasters and major vaccine supply shortages (as of 2026-10-01).⁵

MR doses delayed by the 2024 shortage remain open to March 2027

Under the supply-shortage clause, children whose MR dose was delayed by the FY2024 MR vaccine maldistribution can still receive it as routine until 31 March 2027, where the mayor recognizes the delay (as of 2026-08-01).²⁸⁹ Period 1 covers children born 2 April 2022 to 1 April 2023, and period 2 covers children born 2 April 2018 to 1 April 2019; Minato Ward, for example, publishes the same ranges and deadline (as of 2025-05-22).⁹²⁹ Ask your municipality whether your child qualifies.

How municipal vaccination vouchers work

Routine vaccination runs on paper or digital forms that your municipality issues and that only work inside its own program. The flow below shows the usual path for a child, from registration to the record in the handbook.

Receiving the vouchers after birth or arrival

Municipalities must notify each eligible person or guardian individually of the vaccine, the timing, the place, and precautions (as of 2026-10-01; confirm current figures with your municipality's health center).⁵ For Category A vaccines, the pre-vaccination screening forms (予診票, yoshinhyō) are handed out in advance for the guardian to fill in, and each form doubles as the voucher; Category B forms are not part of this advance distribution (as of 2026-10-01).⁵

For a newborn, forms come once the child is on your municipality's resident register; Saitama City, as an example, sends them when a child reaches 2 months (as of 2026-10-09).⁵²² Registering the birth and getting the handbook are covered in Birth Registration and the 14-Day Rule, and in The Boshi-Techo (Maternal and Child Health Handbook). For maternal RSV, municipalities are to send notice in coordination with their maternal and child health section when they receive a pregnancy notification (as of 2026-10-01).⁵

Digital vaccination forms can appear on Mynaportal

Municipalities that have introduced digital pre-vaccination forms show them on the resident's Mynaportal (マイナポータル), the government's personal online portal, and Category A forms appear by default from age 1 month (as of 2026-10-01).⁵ Paper forms remain usable.⁵

Families who move in can wait a while for forms. Saitama City, for example, sends forms to transferred-in children under 4, but this can take until late in the month after the move, up to about two months (as of 2026-10-09).²²

If a vaccine has a short deadline, Saitama advises going to the ward's health center (保健センター, hoken sentā) with the boshi techo and ID, where staff check the vaccination history and hand over the needed forms (as of 2026-10-09).²² Depending on where you live, this office may be called a 保健センター (municipal health center) or a 保健所 (hokenjo, public health center).

Booking a contracted clinic and what to bring

Routine vaccination is in principle given individually at a medical institution whose doctor has agreed to the mayor's request, called a contracted clinic here; municipalities may also run group sessions (as of 2026-10-01).⁵ Sendai's guide, as one example, notes that some clinics need a reservation (as of 2023-12).²⁷

What to bring	Who needs it	Notes	As of
Pre-vaccination form (予診票, yoshinhyō)	Everyone receiving a routine vaccine	Issued by your municipality; filled in by the guardian for a child	2026-10-015
Maternal and Child Health Handbook (母子健康手帳, boshi kenkō techō)	Infants and children; the pregnant person for maternal RSV	The clinic records the vaccine and date here, in place of a separate certificate	2026-10-015
My Number health-insurance card (マイナ保険証, maina hokenshō), vaccination notice, or other ID	Everyone	Used to confirm you are an eligible target, for example through an online eligibility check	2026-10-015

The table reflects MHLW's guideline (as of 2026-10-01); municipalities may ask for more, so check the notice that comes with your forms.

A guardian must in principle accompany a child to individual vaccination (as of 2026-10-01).⁵ Exceptions apply for some vaccinations of children aged 13 and over with written guardian consent, and recipients aged 16 and over consent for themselves (as of 2026-10-01).⁵

A doctor may give two or more vaccines at the same visit when the doctor judges it particularly necessary (as of 2026-10-01).⁵ Ask the clinic how it plans your child's doses.

Moving to a new municipality or vaccinating elsewhere

Forms are tied to the issuing municipality. Bunkyo Ward, for example, states that forms issued elsewhere cannot be used after you move in; it checks your child's vaccination history and then issues Bunkyo forms (as of 2026-07-31).³⁰

Vaccinating away from home, such as during 里帰り (satogaeri, returning to the family home around childbirth) or a long hospital stay, needs arranging in advance. MHLW's guideline lets your home municipality contract with outside clinics, ask the other municipality to vaccinate, or accept a prior application and then reimburse you (償還払い, shōkan barai) (as of 2026-10-01).⁵

MHLW mentions a planned nationwide contract that would make prior applications and reimbursement unnecessary, without a date (as of 2026-10-01).⁵ Until then, procedures vary by municipality, as the Bunkyo example shows.

As an example of that flow, Bunkyo's forms work at contracted clinics anywhere in Tokyo's 23 wards (as of 2026-07-31).³⁰ Outside the 23 wards, you apply in advance online, by mail, or by fax for a vaccination request letter (予防接種実施依頼書, yobō sesshu jisshi iraisho), which takes about 10–14 days; the ward reimburses part or all of the cost, and claims must be filed within 1 year of vaccination (as of 2026-07-31).³¹

Apply before vaccinating outside your municipality

Under MHLW's framework, reimbursement for a routine dose given elsewhere normally rests on a prior application; your home municipality may still treat an unapplied-for vaccination as routine, but only at its discretion (as of 2026-10-01).⁵ Contact your municipality before booking the outside clinic.

For older adults, Chigasaki City shows how reimbursement can be capped. It repays the lower of the amount paid or the city's cap, minus the standard copay, with FY2026 caps such as ¥5,478 for influenza and ¥23,628 per dose for the recombinant shingles vaccine (as of 2026-06).³²

Arriving with a foreign vaccination record

Families who arrive mid-schedule do not start from zero. The diagram shows the national rule in outline (as of 2026-10-01; confirm current figures with your municipality's health center).⁵

Registering the record with your municipality

MHLW's guideline lets vaccinations received overseas count as routine doses already given, based on a doctor's judgment and the guardian's consent (as of 2026-10-01).⁵ Your child then needs only the remaining routine doses, using forms from your municipality.

Sendai's newcomer guide, an example from one city, advises preparing a Japanese translation of the vaccination record ahead of time and bringing the record to consult a medical institution (as of 2023-12).²⁷ If your child has no record, the same guide advises consulting a doctor at a vaccinating clinic (as of 2023-12).²⁷

Procedures and translation requests vary by municipality, so ask your health center what it needs. MHLW tells municipalities to provide vaccination notices in multiple languages, including English, Chinese, Korean, Vietnamese, Spanish, Portuguese, Thai, Indonesian, Tagalog, and Nepali (as of 2026-10-01).⁵

Doses your home schedule and Japan's do not share

BCG is routine in Japan for babies under 1, with standard timing at 5–8 months, and Japanese encephalitis is routine with three doses in early childhood plus one at age 9 (as of 2026-10-01).⁸⁵ If your home schedule did not include them, your child may still be inside the routine window for them.

Japan treats several vaccines as voluntary, with no routine target: mumps, hepatitis A, tetanus toxoid on its own, meningococcal, typhoid, tick-borne encephalitis, yellow fever, rabies, and RSV for older adults (as of 2026-08-01).⁹ A dose your home country gave routinely may therefore have no free equivalent here.

HPV is routine for girls only. The 9-valent vaccine has been approved for males aged 9 and over since August 2025, but routine eligibility covers only females from grade 6 to the first year of high school (as of 2026-08-01).⁹

Product differences can matter after a move. The guideline lets a pneumococcal series begun with PCV15 finish with PCV20, and a rotavirus series cross between the two products, where the new municipality stocks only one, at the mayor's discretion (as of 2026-10-01).⁵

Children past the routine age window

Once a child is past a vaccine's legal window, remaining doses are voluntary and self-paid (as of 2026-09-08).²²⁷ The long-term illness exception lists illness, transplant, disaster, and supply disruption as grounds; late arrival in Japan is not among them (as of 2026-10-01).⁵

How foreign doses count is a doctor's judgment, so a pediatrician is the right person to plan a catch-up (as of 2026-10-01).⁵ If you expect to return home, ask the pediatrician whether to follow Japan's schedule or your home country's for the remaining doses.

Adult vaccines

Adult vaccination in Japan is mostly voluntary and self-paid. The exceptions are the Category B routine vaccines for people 65 and over or in specified high-risk groups, the maternal RSV vaccine, and a closing window for men in the rubella cohort (as of 2026-10-09).⁸²²⁸²¹

Seasonal influenza

Routine influenza vaccination covers people aged 65 and over, and people aged 60–64 with severe heart, kidney, or respiratory impairment or HIV-related immune impairment, once per fiscal year with the standard HA vaccine (as of 2026-10-01; confirm current figures with your municipality).⁸⁵⁴

MHLW tells municipalities to plan so that people can be vaccinated before the flu season, usually by about mid-December (as of 2026-10-01).⁵ Your municipality sets the actual period; Okayama City, for example, runs its 2026/27 program from 1 October 2026 to 31 January 2027 (as of 2026-10-09).¹³

Everyone else pays the clinic's full price as a voluntary vaccination (as of 2025-12-19).⁴

A high-dose influenza vaccine was planned for routine use for adults 75 and over from October 2026, but it has been postponed for the 2026/27 season because of manufacturing delays (as of 2026-07-23).³³ The current guideline lists only the standard HA vaccine for routine influenza (as of 2026-10-01).⁵

COVID-19

Routine COVID-19 vaccination covers the same groups as influenza: people 65 and over, and people 60–64 in the specified high-risk groups (as of 2026-10-01).⁸⁵ Each gets one dose per fiscal year, in a period each municipality sets between 1 October and 31 March (as of 2026-10-01).⁵

MHLW's page describes the FY2026 routine program as running from October 2026 and paid in principle (as of 2026-03-03).¹² The 2026/27 products named in the guideline are XFG- and NB.1.8.1-adapted vaccines from Pfizer, Takeda, Meiji Seika, Moderna, and Daiichi Sankyo (as of 2026-10-01).⁵

Your municipality sets the copay. As examples, Okayama City charges ¥5,500, or ¥2,700 for municipal-tax-exempt households and nothing for public-assistance recipients (as of 2026-10-09), and Chigasaki City charges ¥5,000 (as of 2026-06).¹³³²

Everyone outside the routine groups falls under the general rule for voluntary vaccines and pays in full (as of 2026-09-08).²

Pneumococcal disease for older adults

From 1 April 2026 the routine pneumococcal vaccine for older adults is the 20-valent conjugate vaccine (PCV20), replacing the 23-valent polysaccharide vaccine (PPSV23) (as of 2026-02-20).³⁴⁵ JIHS records PPSV23's removal from the routine products at the end of March 2026 (as of 2026-08-01).⁹

The target is people aged 65 and people aged 60–64 in the high-risk group, for one dose (as of 2026-10-01).⁸⁵ Anyone who has already had PPSV23 or a pneumococcal conjugate vaccine and is judged not to need another cannot receive it as routine (as of 2026-10-01).⁵

"Age 65" here follows your birthday rather than the fiscal year. Edogawa Ward, for example, sets the window from the day before your 65th birthday to the day before your 66th; its copay is ¥5,500 for people newly eligible in FY2026 and ¥4,000 for the FY2025 cohort still inside its window (as of 2026-09-17).¹⁴

Shingles

Shingles (帯状疱疹, taijō hōshin) vaccination has been routine since FY2025 for people aged 65 and people aged 60–64 with HIV-related immune impairment (as of 2026-10-09).⁸¹⁰

A transitional measure (経過措置, keika sochi) widens the age-65 group. From 1 April 2025 to 31 March 2030, it covers people in the fiscal year in which they turn 65, 70, 75, 80, 85, 90, 95, or 100; everyone aged 100 and over was also eligible in FY2025 only (as of 2026-10-01).⁵¹⁰

Two vaccine types are available as routine, and the choice is one to discuss with your doctor (as of 2026-10-01).⁵¹⁰

Vaccine type	Doses	Interval	As of
Live vaccine	1 subcutaneous dose	Not applicable	2026-10-01510
Recombinant vaccine	2 intramuscular doses	At least 2 months apart (1 month allowed for immunocompromised people when a doctor judges it necessary); aim to finish within 6 months	2026-10-01510

Someone who has already had the recombinant vaccine twice or the live vaccine once, and is judged not to need more, is excluded; a person with one prior recombinant dose can complete the series as routine (as of 2026-10-01).⁵

MHLW says the copay varies by municipality (as of 2026-10-09).¹⁰ Chigasaki City, as an example, charges ¥4,500 for the live vaccine or ¥11,800 per recombinant dose (as of 2026-06).³²

RSV vaccine in pregnancy

Since FY2026, RSV vaccination for pregnant residents has been a routine vaccination under the Immunization Act (as of 2026-10-09).²¹ The target is anyone between 28 weeks 0 days and 36 weeks 6 days of pregnancy at the time of vaccination, for one dose of Abrysvo (Pfizer), and people vaccinated in an earlier pregnancy are eligible again (as of 2026-10-09).²¹

The clinic confirms the gestational age with your boshi techo. Because effectiveness is not established for babies born within 14 days of vaccination, the doctor explains this and asks for consent if delivery is expected within that time (as of 2026-10-01).⁵

The maternal RSV vaccine is Category A, the category that is generally free in practice (as of 2026-10-09).⁸⁶⁷ MHLW's RSV page, however, says the period and cost differ by municipality, so check what yours charges (as of 2026-10-09).²¹ Funabashi City, for example, offers it free and asks you to bring ID, the boshi techo, and the city's form (as of 2026-09-14).³⁵

The pregnancy notification and the vouchers that come with it are covered in Confirming Pregnancy and Registering at the Ward Office, and in Prenatal Checkup Vouchers and Subsidies.

RSV vaccines for older adults remain voluntary: JIHS lists GSK's vaccine (60 and over, or 18 and over at high risk) and Pfizer's (60 and over outside pregnancy) with no routine target (as of 2026-08-01).⁹

Rubella for men in the designated cohort

Men born 2 April 1962 to 1 April 1979 were the target of an additional rubella measure (追加的対策, tsuikateki taisaku), offered free in principle; MHLW announced that the measure ended on 31 March 2025 (as of 2025-03-31).³⁶

One group can still be vaccinated. Men in that cohort who had an antibody test by the end of FY2024 showing insufficient rubella antibodies, and who could not be vaccinated because of the MR vaccine maldistribution, may receive the routine dose until 31 March 2027 where the mayor recognizes the delay (as of 2025-03-11).²⁸⁹

Men who had their antibody test in FY2025 or later are not covered by this extension (as of 2025-03-11).²⁸

HPV for adults after the catch-up closure

The HPV catch-up for women born in FY1997–FY2007 ran from April 2022 to March 2025. A transitional completion window for women born in FY1997–FY2008 who had at least one dose in that period closed on 31 March 2026 (as of 2026-03-25).²⁰

The current guideline contains no catch-up provision (as of 2026-10-01).⁵ Outside the routine target, HPV vaccination is voluntary at full cost to you (as of 2026-03-25).²⁰

Males can receive the 9-valent vaccine, approved for males aged 9 and over from August 2025, only as a voluntary vaccination (as of 2026-08-01).⁹ As a price example, Nagoya City University West Medical Center lists ¥16,740 for the first dose and ¥14,360 for later doses (as of 2025-12-01).²⁴

Travel and occupational vaccines

Travel vaccines are voluntary. JIHS lists hepatitis A, tetanus toxoid, meningococcal (4-valent), typhoid, tick-borne encephalitis, yellow fever, and rabies with no routine target (as of 2026-08-01).⁹

The Ministry's quarantine information site FORTH advises consulting a travel clinic (トラベルクリニック, toraberu kurinikku) or travel outpatient service at least three months before departure where possible (as of 2025-07).³⁷ Yellow fever vaccine is given at quarantine stations (検疫所, ken'ekisho) and some designated institutions (as of 2026-08-01).⁹

Supply can change. JIHS reports that the KM Biologics rabies vaccine is suspended with no restart date as of August 2026, with the Orphan Pacific product as the alternative (as of 2026-08-01).⁹

Vaccine	Kyorin University Hospital	Nagoya City University West Medical Center	As of
Hepatitis A	¥7,700	¥8,380	2026-01-0923 / 2025-12-0124
Rabies	¥15,400	¥16,270	2026-01-0923 / 2025-12-0124
Meningococcal	¥23,980	No comparable figure	2026-01-0923

Those per-dose prices, tax included, are examples from two hospital lists (as of 2026-01-09 and 2025-12-01). For occupational exposure, JIHS notes that post-exposure hepatitis B vaccination falls under workers' accident insurance in specified cases (as of 2026-08-01).⁹

Unapproved imported vaccines fall outside both relief systems

FORTH states that if a serious health problem follows a vaccine not approved in Japan, neither the Relief System for Sufferers from Adverse Drug Reactions nor the Vaccination Injury Relief System applies.³⁷ Ask the travel clinic whether a vaccine it offers is approved in Japan before you agree to it.

Costs and where to get vaccinated

Vaccines are outside health insurance, so the price depends on whether the dose is routine for you and on what your municipality or clinic charges.³⁴ For broader context on what health insurance leaves out, see What Insurance Doesn't Cover.

What you pay

Your municipality sets routine copays, and clinics set voluntary prices. The figures below are labeled examples from specific municipalities and two university hospitals, not national rates or a market range (as of 2025-12-01 to 2026-10-09, per row; confirm current figures with your municipality and the clinic).

Item	Amount (examples)	As of	Notes
Category A routine (childhood schedule, girls' HPV, maternal RSV)	Free in practice	2026-04-0717	The Act allows a municipal fee except for those unable to pay
Category B influenza copay	Okayama City ¥1,800; Chigasaki City ¥2,000	2026-10-0913 / 2026-0632	Your municipality sets the copay
Category B COVID-19 copay	Okayama City ¥5,500; Chigasaki City ¥5,000	2026-10-0913 / 2026-0632	Your municipality sets the copay
Category B pneumococcal copay	Edogawa Ward ¥5,500 (FY2026 cohort); Chigasaki City ¥4,000	2026-09-1714 / 2026-0632	Your municipality sets the copay
Category B shingles copay	Chigasaki City ¥4,500 live; ¥11,800 per recombinant dose	2026-0632	Your municipality sets the copay
Voluntary shingles (Shingrix), per dose	¥21,560 (Kyorin); ¥21,520 (Nagoya City Univ. West)	2026-01-0923 / 2025-12-0124	Clinic-set price
Voluntary pneumococcal PCV20 (Prevenar 20), per dose	¥13,750 (Kyorin)	2026-01-0923	Clinic-set price
Voluntary influenza, per dose	¥8,250 (Kyorin); ¥4,970 (Nagoya City Univ. West)	2026-01-0923 / 2025-12-0124	Clinic-set price
Vaccination certificate from a ward	¥300 per vaccine type (Ota Ward, in Japanese)	2026-06-2538	See Good to know

The gap between routine and voluntary prices can be large. Chigasaki City's copay for a recombinant shingles dose is ¥11,800 (as of 2026-06), against hospital list prices of about ¥21,500 per dose for the same vaccine bought voluntarily (as of 2026-01-09 and 2025-12-01).³²²³²⁴

Where to get vaccinated

Routine vaccines are given at your municipality's contracted clinics, individually in principle, or at municipal group sessions (as of 2026-10-01).⁵ Sendai, for example, gives BCG at a large group session and other routine vaccines at clinics listed in its handbook (as of 2023-12).²⁷

For travel vaccines, FORTH points to travel clinics and travel outpatient departments and links to its own guide to finding vaccinating institutions (as of 2025-07).³⁷ Finding an English-Speaking Provider covers locating a clinic where you can discuss the options in English.

If something goes wrong: adverse reactions and relief

Which relief system applies depends on how you were vaccinated. The diagram shows the routing.

For routine vaccinations, the Immunization Act's Vaccination Injury Relief System (予防接種健康被害救済制度, yobō sesshu kenkō higai kyūsai seido) applies. If the Minister certifies that illness, disability, or death resulted from a routine vaccination received while you lived in the municipality, the mayor pays benefits.¹⁶

MHLW tells you to consult the municipality where your resident record was registered at the time of vaccination.¹⁵ Benefits for Category B vaccinations are narrower than for Category A, so check the benefit categories with your municipality if you need to apply.¹⁵

Voluntary vaccinations fall outside the Act's system. For them, the Relief System for Sufferers from Adverse Drug Reactions (医薬品副作用被害救済制度, iyakuhin fukusayō higai kyūsai seido), run by the Pharmaceuticals and Medical Devices Agency (PMDA), applies instead.¹⁵ It covers serious harm, at the level of hospitalization, disability, or death, from proper use of approved products.³⁹

Vaccines imported without approval in Japan fall outside both systems.³⁷

Good to know

Shingles and HPV eligibility runs by fiscal year, not birthday

Shingles and HPV eligibility are defined by the fiscal year, April to March, in which you reach the age. For shingles, the transitional cohorts through FY2029 cover the fiscal year in which you turn 65, 70, 75, and so on up to 100, and for HPV the window runs from the fiscal year a girl turns 12 to the fiscal year she turns 16 (as of 2026-10-01; confirm current figures with MHLW or your municipality).⁵¹⁰⁸

Once your eligible fiscal year or window has passed, the dose becomes voluntary and self-paid (as of 2026-09-08).²

Older-adult pneumococcal works differently: "age 65" follows your birthday, as in Edogawa Ward's window from the day before your 65th birthday to the day before your 66th (as of 2026-09-17).⁸¹⁴ Influenza and COVID-19 simply apply to everyone 65 and over each season (as of 2026-10-09).⁸

Spacing rules between different vaccines

Since 1 October 2020, the only fixed gap is between two injectable live vaccines, which must be at least 27 days apart; other combinations have no uniform waiting period (as of 2026-10-09).⁴⁰ The injectable live vaccines named in the guideline are MR, measles, rubella, BCG, and varicella (as of 2026-10-01).⁵

Mumps vaccine is also a live vaccine, according to JIHS (as of 2026-08-01).⁹

The BCG stamp looks unusual

BCG is given with a nine-needle device pressed twice on the upper arm so the two circles touch (as of 2026-10-01).⁵ Redness at the needle marks typically appears about 10 days later and small pustules around one to two months; MHLW's Q&A says the reaction is strongest around five to six weeks (as of 2026-03-10).⁵¹⁸

A reaction within 10 days, known as the Koch phenomenon (コッホ現象), can suggest prior tuberculosis infection, so see the clinic promptly if you notice one.⁵¹⁸

Keep vaccination proof in two languages

For children, the boshi techo is the official vaccination record (as of 2026-10-01).⁵ Ota Ward, as an example, issues certificates in Japanese for ¥300 per vaccine type and can attach an English translation sheet, but it cannot issue the doctor-signed certificates some overseas schools require and refers people to travel clinics instead (as of 2026-06-25).³⁸

Where your municipality uses digital forms, Mynaportal shows a PDF vaccination certificate for those vaccinations. A third party can rely on it only where the electronic signature can be verified (as of 2026-10-01).⁵

Municipal top-ups differ sharply between wards and cities

Two Tokyo wards subsidize children's influenza very differently for 2026/27: Minato pays ¥4,500 per injection and ¥9,000 for the nasal vaccine, while Suginami, which started its program this year, pays up to ¥2,000 and ¥4,000 (as of 2026-09-10 and 2026-09-15).²⁶²⁵

Category B copays also vary. Influenza costs ¥1,800 in Okayama City and ¥2,000 in Chigasaki City, and the pneumococcal copay is ¥5,500 in Edogawa Ward for its FY2026 cohort against ¥4,000 in Chigasaki (as of 2026-10-09, 2026-09-17, and 2026-06).¹³³²¹⁴ Check your own city or ward page before paying a clinic's full price.

The national infectious-disease institute changed its name

In April 2025 the National Institute of Infectious Diseases (NIID) and the National Center for Global Health and Medicine merged to form the Japan Institute for Health Security (JIHS).¹⁶ When looking for the current national schedule, search for JIHS rather than NIID.

The current schedule is version 2026-08-01, published on the JIHS infectious-disease information site (as of 2026-09-24).⁴¹ The NIID name continues as an internal institute, and the schedule document carries both logos (as of 2026-08-01).⁴¹⁹

See also

• Maina-Hokensho: Health Insurance Card Going Digital
• Medical Subsidies for Children
• When Certified Translation Is Required in Japan
• Your First 90 Days in Japan: The Setup Checklist
• Selecting a Local Clinic as Primary Care

References

Footnotes

1. e-Gov 法令検索. 予防接種法（昭和二十三年法律第六十八号）, 第二条, 第五条, 第九条, 第十五条, 第四十九条, 第五十二条. https://laws.e-gov.go.jp/law/323AC0000000068 (page renders via JavaScript; article text read through https://laws.e-gov.go.jp/api/1/lawdata/323AC0000000068) ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶

2. 長野県. 「予防接種について」（更新 2026-09-08）. https://www.pref.nagano.lg.jp/shippei-kansen/kenko/kenko/kansensho/vaccine.html ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹

3. 港区 (Minato Ward). よくある質問「国民健康保険が適用されないものについて知りたい。」. https://www.city.minato.tokyo.jp/kyufu/kuse/kocho/faq/hoken/094.html ↩ ↩² ↩³

4. 厚生労働省. 「インフルエンザワクチン（季節性）」(Q&A 2025年12月19日版). https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kekkaku-kansenshou/yobou-sesshu/vaccine/influenza/index.html ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹

5. 厚生労働省. 「定期接種実施要領」（改正後全文・令和8年10月1日改正）. https://www.mhlw.go.jp/content/001744583.pdf ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹ ↩²² ↩²³ ↩²⁴ ↩²⁵ ↩²⁶ ↩²⁷ ↩²⁸ ↩²⁹ ↩³⁰ ↩³¹ ↩³² ↩³³ ↩³⁴ ↩³⁵ ↩³⁶ ↩³⁷ ↩³⁸ ↩³⁹ ↩⁴⁰ ↩⁴¹ ↩⁴² ↩⁴³ ↩⁴⁴ ↩⁴⁵ ↩⁴⁶ ↩⁴⁷ ↩⁴⁸ ↩⁴⁹ ↩⁵⁰ ↩⁵¹ ↩⁵² ↩⁵³ ↩⁵⁴ ↩⁵⁵ ↩⁵⁶ ↩⁵⁷ ↩⁵⁸ ↩⁵⁹ ↩⁶⁰ ↩⁶¹ ↩⁶² ↩⁶³ ↩⁶⁴ ↩⁶⁵ ↩⁶⁶ ↩⁶⁷ ↩⁶⁸ ↩⁶⁹ ↩⁷⁰ ↩⁷¹ ↩⁷² ↩⁷³ ↩⁷⁴ ↩⁷⁵ ↩⁷⁶ ↩⁷⁷

6. 厚生労働省. 予防接種「よくある質問」, Q2, Q8. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kekkaku-kansenshou/kihonteki_keikaku/index_00001.html ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

7. 福島県. 「予防接種の概要」（更新 2026-04-07）. https://www.pref.fukushima.lg.jp/sec/21045i/yobouseshu-summary.html ↩ ↩² ↩³ ↩⁴ ↩⁵

8. e-Gov 法令検索. 予防接種法施行令（昭和二十三年政令第百九十七号）, 第一条, 第二条, 第三条. https://laws.e-gov.go.jp/law/323CO0000000197 (article text read through https://laws.e-gov.go.jp/api/1/lawdata/323CO0000000197) ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹ ↩²² ↩²³ ↩²⁴ ↩²⁵ ↩²⁶ ↩²⁷ ↩²⁸ ↩²⁹ ↩³⁰ ↩³¹ ↩³²

9. 国立健康危機管理研究機構 (JIHS). 「日本の定期／任意予防接種スケジュール：注釈 2026年8月1日現在」(ver.2026.08.01). https://id-info.jihs.go.jp/immunization/schedule/2026/20260801_note_r1.pdf ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹ ↩²² ↩²³ ↩²⁴ ↩²⁵ ↩²⁶ ↩²⁷ ↩²⁸ ↩²⁹ ↩³⁰

10. 厚生労働省. 「帯状疱疹ワクチン」. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kekkaku-kansenshou/yobou-sesshu/vaccine/shingles/index.html ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰

11. 厚生労働省. 「65歳以上に実施している予防接種」. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kekkaku-kansenshou/yobou-sesshu/vaccine/years-65.html ↩ ↩²

12. 厚生労働省. 「新型コロナワクチンについて」（更新 2026-03-03）. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/vaccine_00184.html ↩ ↩²

13. 岡山市 (Okayama City). 「令和8年度 岡山市高齢者定期予防接種」. https://www.city.okayama.jp/kurashi/0000069297.html ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

14. 江戸川区 (Edogawa Ward). 「高齢者用肺炎球菌予防接種」（更新 2026-09-17）. https://www.city.edogawa.tokyo.jp/e054/kenko/iryo/yobosesshu/haienn.html ↩ ↩² ↩³ ↩⁴ ↩⁵

15. 厚生労働省. 「予防接種健康被害救済制度」. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/vaccine_kenkouhigaikyuusai.html ↩ ↩² ↩³ ↩⁴

16. 国立健康危機管理研究機構 (JIHS). 「沿革」. https://www.jihs.go.jp/aboutus/history.html ↩ ↩²

17. 厚生労働省. 「5種混合ワクチン」. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kekkaku-kansenshou/yobou-sesshu/vaccine/dpt-ipv-hib/index.html ↩ ↩²

18. 厚生労働省. 「BCGワクチン」(Q&A 2026年3月10日版). https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kekkaku-kansenshou/yobou-sesshu/vaccine/bcg/index.html ↩ ↩² ↩³

19. 厚生労働省. 「日本脳炎ワクチン」(Q&A 2026年3月10日版). https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kekkaku-kansenshou/yobou-sesshu/vaccine/japanese-encephalitis/index.html ↩ ↩²

20. 厚生労働省. 「HPVワクチンに関するQ&A」（最終更新 2026-03-25）. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou/hpv_qa.html ↩ ↩² ↩³ ↩⁴

21. 厚生労働省. 「RSウイルスワクチン」. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kekkaku-kansenshou/yobou-sesshu/vaccine/rs/index.html ↩ ↩² ↩³ ↩⁴ ↩⁵

22. さいたま市 (Saitama City). よくある質問「さいたま市に転入してきたのですが、子どもの予防接種はどうしたらよいでしょうか？」. https://www.city.saitama.lg.jp/kosodate/faq/category6/p103388.html ↩ ↩² ↩³ ↩⁴

23. 杏林大学医学部付属病院 感染症科. 「予防接種価格表（令和7年度）」（改訂日 令和8年1月9日）. https://www.kyorin-u.ac.jp/hospital/clinic/inter08/pdf/vaccinefee.pdf ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰

24. 名古屋市立大学医学部附属西部医療センター. 「使用料等」（2025年12月1日）. https://w3hosp.med.nagoya-cu.ac.jp/seibu/media/20260120keiji04.pdf ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹

25. 杉並区 (Suginami Ward). 「子どものインフルエンザ予防接種の費用助成を開始します」（2026-09-15）. https://www.city.suginami.tokyo.jp/s047/news/28034.html ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

26. 港区 (Minato Ward). 「令和8年度 港区子どものインフルエンザ予防接種事業の指定医療機関です」（医療機関掲示用チラシ）. https://www.city.minato.tokyo.jp/documents/146726/20260910152706.pdf ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

27. 仙台観光国際協会 (SenTIA). "Sendai Multicultural Center News" Vol. 2 FY2023, "Regarding children's vaccination" (published December 2023). https://www.int.sentia-sendai.jp/upload/publication/207/English2023Vol.2.pdf ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

28. 厚生労働省 健康・生活衛生局感染症対策部予防接種課. 事務連絡「麻しん及び風しんの定期の予防接種に係る対応について」（令和7年3月11日）. https://www.mhlw.go.jp/content/10900000/001440529.pdf ↩ ↩² ↩³ ↩⁴

29. 港区 (Minato Ward). 「麻しん風しん混合(MR)ワクチン定期予防接種の延長対応について」(更新 2025-05-22). https://www.city.minato.tokyo.jp/hokenyobou/yobousessyu/mrenchoutaiou.html ↩

30. 文京区 (Bunkyo Ward). 「こどもの定期予防接種」（更新 2026-07-31）. https://www.city.bunkyo.lg.jp/hoken/kenko/yobousessyu/kodomoyobouteiki-nini/kodomoyobou.html ↩ ↩²

31. 文京区 (Bunkyo Ward). 「里帰り先等(東京23区外)で定期予防接種を希望する方へ」（更新 2026-07-31）. https://www.city.bunkyo.lg.jp/b028/p002675.html ↩

32. 茅ヶ崎市 (Chigasaki City). 「高齢者予防接種費用補助金 補助限度額一覧表（令和8年6月時点）」. https://www.city.chigasaki.kanagawa.jp/_res/projects/default_project/_page_/001/042/425/202606gendo.pdf ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹

33. 第66回厚生科学審議会予防接種・ワクチン分科会 参考資料1（2026-07-23）. サノフィ株式会社「『エフルエルダ®筋注』発売時期変更のご案内」. https://www.mhlw.go.jp/content/10900000/001726773.pdf ↩

34. 厚生労働省. 「高齢者の肺炎球菌ワクチン」(Q&A 2026年2月20日版). https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kekkaku-kansenshou/yobou-sesshu/vaccine/pneumococcus-senior/index.html ↩

35. 船橋市 (Funabashi City). RSウイルス母子免疫ワクチン定期予防接種（更新 2026-09-14）. https://www.city.funabashi.lg.jp/kodomo/kenkou/005/p144323.html ↩

36. 厚生労働省. 「風しんの追加的対策について」. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kekkaku-kansenshou/rubella/index_00001.html ↩

37. 厚生労働省検疫所 FORTH. 「海外渡航のためのワクチン（予防接種）」（2025年7月更新）. https://www.forth.go.jp/moreinfo/topics/useful_vaccination.html ↩ ↩² ↩³ ↩⁴

38. 大田区 (Ota Ward). 「予防接種証明書」（更新 2026-06-25）. https://www.city.ota.tokyo.jp/seikatsu/hoken/yobou_sessyu/kodomo/yobou_sessyu_syoumeisyo.html ↩ ↩²

39. 医薬品医療機器総合機構 (PMDA). 「Q3 救済の対象となる健康被害とはどのようなものですか。」. https://www.pmda.go.jp/relief-services/adr-sufferers/0033.html ↩

40. 厚生労働省. 「ワクチンの接種間隔」. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kekkaku-kansenshou03/rota_index_00003.html ↩

41. 国立健康危機管理研究機構 (JIHS) 感染症情報提供サイト. 「日本の予防接種スケジュール」最新版（ver.2026年8月1日, 更新 2026-09-24）. https://id-info.jihs.go.jp/immunization/schedule/currently/index.html ↩ ↩²