Vaccination
Making an appointment for vaccination
Vaccinations are by appointment only, so please be sure to book your appointment through our website or by phone. Since we need to order the vaccine after you book your appointment, changes or cancellations to vaccination appointments must be made by phone.
Vaccines available at our clinic
The vaccines available at our clinic are listed below (self-pay, tax included). Information about vaccines funded or subsidized by Koto Ward can be found in the subsequent section.
| Vaccine | Product name | Manufacturer | Price (tax included) |
|---|---|---|---|
| Influenza (injection) | Influenza HA Vaccine | ¥ 3,800 | |
| Influenza (intranasal)★★★★ | FLUMIST | Daiichi Sankyo Company | ¥ 8,000 |
| COVID-19 | COMIRNATY | Pfizer | ¥ 15,300 |
| Japanese encephalitis virus★ | ENCEVAC S.C.Injection | Meiji Seika Pharma | ¥ 6,000 |
| JEBIK V | Takeda Pharmaceuticals | ¥ 6,000 | |
| Shingles, inactivated | SHINGRIX | GSK | ¥ 22,000 |
| Shingles, live attenuated★ | VARICELLA VACCINE LIVE ATTENUATED"BIKEN" | Mitsubishi Tanabe Pharma | ¥ 7,500 |
| HPV, 9-valent★★★ | SILGARD9 | MSD | ¥ 26,000 |
| HPV, 4-valent★★★ | GARDASIL | MSD | ¥ 16,000 |
| HPV, 2-valent★ | CERVARIX | GSK | ¥ 16,000 |
| Pneumococcus, 23-valent | PNEUMOVAX | MSD | ¥ 8,000 |
| Tetanus / diphtheria★ | DTBIK | BIKEN | ¥ 4,000 |
| Tetanus / diphtheria / pertussis★ | TRIBIK | BIKEN | ¥ 5,000 |
| Measles / rubella★★ | - | Takeda Pharmaceuticals | ¥ 10,000 |
| Rubella★ | DRIED LIVE ATTENUATED RUBELLA | Takeda Pharmaceuticals | ¥ 5,800 |
★ To ensure vaccine availability, please schedule your appointment at least four business days in advance (e.g., if booking on Friday, schedule for the following Wednesday or later). Note that while our system may allow you to book for the same or the next day, there is a chance the vaccine may not be secured by the time of your visit. In the rare event that we cannot secure the vaccine, we will contact you by phone.
★★ Currently, the supply of measles-rubella vaccines (MR vaccines) is uncertain, and rubella vaccines alone are available. Please call us for details.
★★★ Due to the increase in last-minute vaccinations as the catch-up vaccination deadline approaches, the manufacturer is currently limiting shipments. We expect to have no issues securing doses for those who have already received at least one dose at our clinic. If you wish to start the vaccination series, please contact us by phone or email (contact@parkeastmed.com). We will schedule your appointment once we confirm vaccine availability.
★★★★ The vaccine is intended for individuals aged 2 to under 19 years old. It is administered as a single spray of 0.1 mL into each nostril. As of April 2023, it has been approved in 36 countries and regions. In Japan, vaccinations will begin in the 2024/25 season. Unlike traditional inactivated vaccines, this is a live attenuated vaccine, so it is important to determine if it is appropriate and safe for you. For more details, please refer to the following statement (in Japanese) from the Japan Pediatric Society’s Committee on Vaccination and Infectious Disease Control.
https://www.jpeds.or.jp/uploads/files/20240909_keibi_i_vaccine.pdf
If you are interested in a vaccine not listed above, please contact us first by phone or email at contact@parkeastmed.com.
Vaccines funded or subsidized by Koto Ward
Influenza vaccine
Period for public subsidies：Oct 1, 2024 through Jan 31, 2025
Eligibility for public subsidies and cost
| Influenza HA Vaccine (injection) | FLUMIST (intranasal) | ||
| Eligibility | 6 months old or older | aged 2 to under 19 | |
| Price | ¥ 3,800 / shot | ¥ 8,000 | |
| Public subsidies | Residents of Koto City who are between 6 months old and high school seniors (born on or after April 1, 2007) | ¥ 2,000 ★Children aged 6 months to under 13 years can receive two doses, spaced 2 to 4 weeks apart. ★ The cost is fully covered for welfare recipients (生活保護受給者). | なし |
| Residents of Koto City who meet either one of the following criteria as of the vaccination date: (1) Aged 65 or older (turning 65 by December 31, 2024). (2) Aged 60 to under 65 with a Grade 1 Physical Disability Certificate and functional impairments of the heart, kidneys, respiratory system, or immune system due to HIV (turning 60 by December 31, 2024). | ¥ 2,500 | Not eligible | |
| Residents of Koto City who meet either one of the following criteria (1) Aged 75 years old or older (i.e., born on or before January 1, 1950) as of December 31, 2024. (2) Receiving public assistance. (3) Receiving support under the “Act on the Promotion of Smooth Return of Japanese Nationals Who Remained in China and Support for Their Self-Sufficiency After Permanent Return”. | Free of charge (fully subsidized) |
Instructions
- Please be sure to bring the vaccine questionnaire obtained from Koto Ward. For information on how to obtain the questionnaire, please contact Koto Ward.
The information above is sourced from the following website. Please note that updates may take some time to be reflected. Before making your reservation, be sure to verify the details on the websites (Japanese) provided.
https://www.city.koto.lg.jp/260501/kodomo/iryo/yobo/20240921.html
https://www.city.koto.lg.jp/260502/fukushi/hoken/yobo/06taijouhoushin.html
COVID-19 vaccine
The COVID-19 vaccines eligible for subsidies in Koto Ward are the following five vaccines that correspond to the JN.1 strain. Our clinic offers the Comirnaty vaccine by Pfizer Inc.
- Comirnaty (Pfizer Inc.) [Available at our clinic]
- Spikevax (Moderna Japan Co., Ltd.)
- Daichirona (Daiichi Sankyo Co., Ltd.)
- Nuvaxovid (Takeda Pharmaceutical Company Limited)
- Covovax (Meiji Seika Pharma Co., Ltd.)
Cost
| Eligible Age (as of December 31, 2024) | Out-of-Pocket Cost |
|---|---|
| (1) Individuals aged 75 or older | Free of charge (fully subsidized) |
| (2) Individuals aged 65 to 74 | ¥ 2,500 |
| (3) Individuals aged 60 to 64 who have a Grade 1 Physical Disability Certificate and have functional impairments of the heart, kidneys, or respiratory system, or immune dysfunction due to HIV. | ¥ 2,500 |
| (4) Individuals from categories (2) or (3) who are receiving public assistance or support under the “Act on the Promotion of Smooth Return of Japanese Nationals Who Remained in China and Support for Their Self-Sufficiency After Permanent Return.” | Free of charge (fully subsidized) |
Eligibility for public subsidies
Residents registered in Koto City who meet one of the following criteria.
- Individuals aged 65 or older as of April 1, 2025
- Individuals aged 60 to 64 as of April 1, 2025, who have a Grade 1 Physical Disability Certificate and have functional impairments of the heart, kidneys, respiratory system, or immune system.
Instructions
- There are specific intervals between doses for COVID-19 vaccines (approximately 3 to 6 months). If you have received a COVID-19 vaccine within the past few months and wish to receive this vaccination, please contact us by phone or email (contact@parkeastmed.com) before making a reservation.
- Please be sure to bring the vaccine questionnaire obtained from Koto Ward. For information on how to obtain the questionnaire, please contact Koto Ward.
The information above is sourced from the following website. Please note that updates may take some time to be reflected. Before making your reservation, be sure to verify the details on the website provided.
https://www.city.koto.lg.jp/291101/sesshushuuryou.html
Shingles vaccine
Cost
| Shingles inactivated | Shingles live attenuated | |
| Price | ¥ 22,000/shot | ¥ 7,500 |
| Public subsidies | ¥ 10,000/shot | ¥ 4,000 |
| Patient will pay | ¥ 12,000/shot | ¥ 3,500 |
Eligibility for public subsidies
- Individuals who are 50 years or older as of the vaccination date, are registered residents of Koto Ward, and have never received a subsidy for a shingles vaccine (live or inactivated) before.
Instructions
- Please be sure to bring the vaccine questionnaire obtained from Koto Ward. For information on how to obtain the questionnaire, please contact Koto Ward.
The information above is sourced from the following website. Please note that updates may take some time to be reflected. Before making your reservation, be sure to verify the details on the website provided.
https://www.city.koto.lg.jp/260502/fukushi/hoken/yobo/06taijouhoushin.html
Pneumococcal vaccine
Cost
- Patient will pay ¥ 1,500
Eligibility for public subsidies
- Individuals who are 65 years old※ and have never received the pneumococcal polysaccharide vaccine, regardless of whether it was covered by public funds or paid out-of-pocket.
- ※If vaccinated at an age other than 65, you will not be eligible for subsidies.
- ※[For the fiscal year 2024 only] Residents of Koto Ward aged 66 and over who have never received a pneumococcal vaccine (polysaccharide) are eligible for subsidies from Koto Ward. Please check the website below for details.
- Individuals aged 60 to under 65 with a Level 1 Disability Certificate, and who have impairments in cardiac, renal, respiratory functions, or immune function due to the Human Immunodeficiency Virus (HIV), and who reach the relevant age on the day of vaccination.
Instructions
- Please be sure to bring the vaccine questionnaire obtained from Koto Ward. For information on how to obtain the questionnaire, please contact Koto Ward.
The information above is sourced from the following website. Please note that updates may take some time to be reflected. Before making your reservation, be sure to verify the details on the website provided.
https://www.city.koto.lg.jp/260502/fukushi/hoken/yobo/05kouhai.html
HPV vaccine
Please note that if you wish to receive the HPV vaccine, you will first undergo a consultation and explanation on the day you book online, following which you will be able to schedule your vaccination appointment for two business days later or beyond.
There are three types of HPV vaccines eligible for full public funding. For more details, please refer to the website below.
https://www.city.koto.lg.jp/260312/fukushi/hoken/yobo/6858.html
| CERVARIX (2-valent) | GARDASIL (4-valent) | SILGARD9 (9-valent) | ||
| Protects against | HPV types 16, 18 | HPV types 6, 11, 16, 18 | HPV types 6, 11, 16, 18, 31, 33, 45, 52, 58 | |
| Doses | 3 | 3 | 3 doses (if the 1st dose is given at 15 years of age or older) | 2 doses (if the 1st dose is given before 15 years of age) |
| Dosing schedule | 0, 1, 6 months | 0, 2, 6 months | 0, 2, 6 months | 0, 6 months |
| Manufacturer | GSK | MSD | MSD | MSD |
Eligibility for public subsidies
There are two types of vaccinations: routine vaccinations and catch-up vaccinations, and the eligibility for subsidies varies between them.
- Routine vaccinations：Girls from 6th grade in elementary school to 1st year in high school
- Catch-up vaccinations：Individuals who missed their vaccination opportunities due to a lack of active recommendation
Routine vaccinations
Eligibility for public subsidies
- Girls currently registered as residents in Koto Ward, from 6th grade in elementary school to 1st year in high school (born between April 2, 2008, and April 1, 2013), as of the vaccination date.
Cost
- Free of charge (fully subsidized)
Vaccines to be given by
- March 31 of the year in which individuals reach the equivalent age of a first-year high school student (until the end of the fiscal year in which they turn 16).
Instructions
- Individuals who are 12 years old on the day of vaccination must be accompanied by a parent or guardian.
- Individuals aged 13 to 15 on the day of vaccination can receive the vaccine without a parent or guardian present if a parent or guardian has signed the designated section on the vaccination questionnaire. However, as with other vaccinations, reactions such as fainting may occur after receiving the vaccine. To prevent incidents such as falls due to fainting, it is strongly recommended that a parent or guardian accompany the individual.
- Individuals 16 years of age and older on the day of vaccination do not need parental consent and can proceed with the vaccination based on their own consent. Please ensure that the individual signs the self-signature section of the vaccination questionnaire, not a parent or companion.
- On the day of your visit, please bring your Maternal and Child Health Handbook, the vaccination ticket sticker (white) obtained from Koto Ward, the vaccination questionnaire, and the consent form (if required, see the website below for details).
https://www.city.koto.lg.jp/260312/fukushi/hoken/yobo/6858.html
Catch-up vaccinations
Eligibility for public subsidies
- Girls born between April 2, 1997, and April 1, 2008, who are registered residents of Koto Ward as of the vaccination date.
Cost
- Free of charge (fully subsidized)
Vaccines to be given by
- March 31, 2025
Instructions
- Individuals who are 16 years of age or older at the time of vaccination do not need parental consent and can proceed with the vaccination based on their own consent. Please sign the self-signature section of the vaccination questionnaire that was sent to you.
- On the day of your appointment, please bring your Maternal and Child Health Handbook, the vaccination ticket sticker (light blue) obtained from Koto Ward, and the vaccination questionnaire.
The information above is sourced from the following website. Please note that updates may take some time to be reflected. Before making your reservation, be sure to verify the details on the website provided.
https://www.city.koto.lg.jp/260312/fukushi/hoken/yobo/6858.html
Rubella antibody testing and rubella vaccine
Vaccines to be subsidized
- Rubella monovalent vaccine
- Measles/rubella combined (MR) vaccine※
※Currently, the supply of measles-rubella vaccines (MR vaccines) is uncertain, and rubella vaccines alone are available. Please call us for details.
Cost
- Free of charge (fully subsidized)
Eligibility for public subsidies
- Women aged 19 to 49 who plan or intend to become pregnant
- Household members of the above (aged 19 and older)
- Household members of pregnant women with low rubella antibody levels (aged 19 and older)
Currently pregnant women, or those who might be pregnant, are not eligible to receive the vaccination. Those who have previously received rubella antibody testing or rubella vaccination subsidized by the district are also not eligible.
Instructions
- Since we need to call and confirm your request with the Koto Ward Public Health Office before testing/vaccination, please contact us by phone before making your appointment.
- At your first visit, we will conduct an antibody test (blood draw) and schedule a follow-up appointment to review the results. Vaccination will be administered based on these results if deemed necessary according to the guideline set by the Ministry of Health, Labour and Welfare.
- If you already have documentation (such as test results showing antibody levels) confirming low rubella antibody levels as recommended by the Ministry of Health, Labour and Welfare for vaccination, you may receive the vaccination without undergoing an antibody test. Please make sure to inform us when you book your appointment if this is the case. For more details, please visit the following website.
The information above is sourced from the following website. Please note that updates may take some time to be reflected. Before making your reservation, be sure to verify the details on the website provided.
https://www.city.koto.lg.jp/260502/fukushi/hoken/yobo/31fuusin.html