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 |
| COVID-19★ | NUVAXOVID | Takeda Pharmaceuticals | ¥ 16,000 |
| 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, 2-valent★ | CERVARIX | GSK | ¥ 16,000 |
| Pneumococcus, 23-valent polysaccharide vaccine | PNEUMOVAX | MSD | ¥ 8,000 |
| Pneumococcus, 20-valent conjugate vaccine | PREVENAR 20 | Pfizer | |
| Pneumococcus, 21-valent conjugate vaccine | CAPVAXIVE | MSD | |
| Meningococcus, A/C/Y/W-135★ | MENQUADFI | Sanofi | ¥ 25,000 |
| 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.
★★★ 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, starting in the 2024–25 season, this vaccine became available, and from the 2025–26 season it is covered by public subsidy. Compared with the traditional inactivated influenza vaccine, no clear differences in overall effectiveness have been demonstrated (see reference site below). However, because this is a live attenuated vaccine, there are some important differences to be aware of:
(1) Live attenuated formulation – The vaccine virus replicates in the nasal passages for a short period after administration, which is how it stimulates the immune response.
(2) Possible short-term symptoms – While the virus is replicating in the nose, some people may experience runny nose, nasal congestion, fever, or other mild symptoms. In clinical trials, the most common events (≥10%) were nasal congestion/runny nose (59.2%), cough, sore throat, and headache. These usually began within a week and resolved in about a week. Importantly, these rates were not significantly higher than in the placebo group.
(3) Effect on flu tests – For about a week after vaccination, the vaccine virus may cause positive results on rapid influenza diagnostic tests.
(4) Precautions regarding close contacts – Because the vaccine virus can rarely spread to others through droplets or contact, the package insert advises avoiding close contact with people who are severely immunocompromised for 1–2 weeks after vaccination. In addition, it is recommended to avoid close contact during that period with pregnant individuals (not eligible to receive the vaccine because of theoretical fetal risks) and with children under 2 years of age (not eligible because of risk of respiratory complications).
https://www.mhlw.go.jp/content/10900000/001256393.pdf
♯ As of May 8, 2025, there is a nationwide supply shortage. If you wish to receive the vaccine, please call our clinic to confirm availability before making an online reservation.
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, 2025 through Jan 31, 2026
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 born between Feburuary 2, 2024 through July 1, 2025 | ¥ 2,000/shot - sibsidized ★Up to 2 doses could be subsidized (spaced 2 to 4 weeks apart). ★The cost is fully covered for welfare recipients (生活保護受給者). | Not eligible |
| Residents of Koto City who are born between October 2, 2022 through February 1, 2024 | ¥ 2,000/shot - sibsidized ★Up to 2 doses could be subsidized (spaced 2 to 4 weeks apart). ★The cost is fully covered for welfare recipients (生活保護受給者). | ¥ 4,000/shot - sibsidized ★One dose only ★Eligible from the day before the 2nd birthday. | |
| Residents of Koto City who are born between April 2, 2007 through October 1, 2022 | ¥ 2,000/shot - sibsidized ★One dose only | ¥ 4,000/shot - sibsidized ★One dose only | |
| 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 January 1, 2026). (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 January 1, 2026). | ¥ 2,500 (out-of-pocket cost) | Not eligible | |
| Residents of Koto City who meet either one of the following criteria (1) Turning 75 by March 31, 2026. (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. Our clinic offers the Comirnaty vaccine by Pfizer Inc.
| Product name | Modality | Variant target | Manufacturer |
|---|---|---|---|
| Comirnaty【Available at our clinic】 | mRNA | Omicron variant L.P.8.1 | Pfizer Inc. |
| Spikevax | mRNA | Omicron variant L.P.8.1 | Moderna Japan Co., Ltd. |
| Daichirona | mRNA | Omicron variant XEC | Daiichi Sankyo Co., Ltd. |
| Kostaive | mRNA（replicon） | Omicron variant XEC | Meiji Seika Pharma Co., Ltd. |
| Nuvaxovid【Available at our clinic upon request】 | Recombinant protein | Omicron variant L.P.8.1 | Takeda Pharmaceutical Company Limited |
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, 2026
- Individuals aged 60 to 64 as of April 1, 2026, who have a Grade 1 Physical Disability Certificate and have functional impairments of the heart, kidneys, respiratory system, or immune system.
Vaccination Period and Number of Doses
- One subsidized dose may be received between October 1, 2025 and March 31, 2026. Any additional doses will be charged at the full self-pay rate.
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
Routine Vaccination (government-recommended and publicly funded program)
Eligibility
Routine vaccination (government-recommended and publicly funded program) against herpes zoster (shingles) is available only once in a lifetime. Eligibility does not recur every five years.
Eligible individuals are:
- Those who will turn 65 during Fiscal Year 2026 (April 1, 2026–March 31, 2027)
- Those who will turn 70, 75, 80, 85, 90, 95, or 100 during Fiscal Year 2026
- Individuals aged 60–64 who have a severe impairment of immune function due to HIV infection that substantially limits activities of daily living
Note: Individuals who qualify under item (3) must apply separately. Please contact the Vaccine Administration Office for details.
Vaccination Period
April 1, 2026, through March 31, 2027
To receive the government subsidy, all required doses must be completed by March 31, 2027.
If you choose the inactivated shingles vaccine (Shingrix), the first dose must be administered no later than January 2027 to allow sufficient time for completion of the series by the deadline.
| Shingles inactivated (Two doses, given 2 to 6 months apart) | Shingles live attenuated (Single dose) | |
| Price | ¥ 22,000/shot | ¥ 7,500 |
| Public subsidies | ¥ 11,000/shot | ¥ 4,000 |
| Patient will pay | ¥ 11,000/shot | ¥ 3,500 |
Optional Vaccination (not covered by the routine vaccination program)
New applications for the vaccination subsidy program closed on March 31, 2026.
For individuals who applied for the inactivated shingles vaccine (Shingrix), the subsidy for the second dose has been extended from April 1, 2026 through September 30, 2026, provided that the first dose was completed by March 31, 2026.
Eligibility
- 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, and are not eligible for the routine shingles vaccination program (government-recommended and publicly funded program).
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.
- 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.
Vaccination Period and Number of Doses
- One subsidized dose may be administered from the day before the individual's 65th birthday through two days before their 66th birthday.
Vaccine Eligible for the Program
- Prevenar 20
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) | SILGARD9 (9-valent) | ||
| Protects against | HPV types 16, 18 | HPV types 6, 11, 16, 18, 31, 33, 45, 52, 58 | |
| Doses | 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 | Dosing interval Btwn 1/2: 1mo Btwn 2/3: 5mo | Dosing interval Btwn 1/2: 2mo★1 Btwn 2/3: 4mo★2 | Dosing interval Btwn 1/2: 6mo★3 |
| Manufacturer | GSK | MSD | MSD |
If you are unable to follow the standard schedule above, you can still receive the vaccine and remain eligible for coverage in the following cases:
★1: The interval between doses is at least 1 month
★2: The interval between doses is at least 3 months
★3: The interval between doses is at least 5 months
Eligibility for public subsidies
- (1) Routine vaccinations：
- Girls from 6th grade in elementary school to 1st year in high school on the date of vaccination who are officially registered as residents of Kōtō Ward (born between April 2, 2010 and April 1, 2015).
- (2) Extension for catch-up vaccinations and students equivalent to high school 11th grade in 2025：
- This extension program ended on March 31, 2026.
- (3) Voluntary HPV vaccination subsidy：
- Boys from 6th grade in elementary school to 1st year in high school on the date of vaccination who are officially registered as residents of Kōtō Ward (born between April 2, 2010 and April 1, 2015).
(1) Routine vaccinations
Eligibility for public subsidies
- Girls from 6th grade in elementary school to 1st year in high school on the date of vaccination who are officially registered as residents of Kōtō Ward (born between April 2, 2010 and April 1, 2015).
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).
Covered vaccines
- Silgard® (9-valent HPV vaccine)
Cost
- Free of charge (fully subsidized)
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
(2) Extension for catch-up vaccinations and students equivalent to high school 11th grade in 2025
- This extension program ended on March 31, 2026.
(3) Voluntary HPV vaccination subsidy
Eligibility for public subsidies
- Boys from 6th grade in elementary school to 1st year in high school on the date of vaccination who are officially registered as residents of Kōtō Ward (born between April 2, 2010 and April 1, 2015).
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).
Covered vaccines
- Silgard® (9-valent HPV vaccine)
Cost
- Free of charge (fully subsidized)
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/hpvdannsei.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