Child Immunization

Japanese preventive vaccination law encourages parents to have their children immunized against certain diseases, however, immunization is not mandatory. In Japan, immunizations are classified into two major types, Teiki-Yobou-Sesshu (, routine immunizations) and Nin-i-Yobou-Sesshu (, optional immunizations). Most local governments provide routine immunizations free of charge and in some cases immunization slips will be sent to your house when your child turns to respective eligible ages. Since these immunization slips are sent according to resident registration data, be sure to let your local government know of new family births or changes of address.
Optional immunizations, unlike recommended immunizations, are not free and charges may differ depending on the hospital or clinic.
Photo_VaccinationSheetYour municipal office will automatically send you one of these forms as soon as the vaccination season begins. They may be available in English as well, but if only a Japanese version is sent, please consult with your municipal office, a hospital or Japanese speaking friend.

Both BCG and Japanese encephalitis are Asia specific immunizations, and are not required in many western countries. Parents should be aware that children who receive BCG immunization may test positive for TB due to antibodies for a number of years after immunization.

Name of immunization


Minimum age


Routine Immunizations (teiki yobou sesshu)
Hib 4 2 months
Pneumococcus 4 2 months
DPT-IPV (diptheria pertussis tetanus & inactivated polio vaccine 4 3 months
BCG 1 From birth Usually taken between 5 and 8 months
MR (Measles/Rubella) 2 1 year
Chicken pox 2 1 year
Japanese encephalitis 4 6 months Usual course begins at age 3
HPV 3 11 (Grade 1 of Jr. High School)
Hepatitis B (from October 2016) 3 From birth Usual course begins at 2 months
Optional Immunizations (nin’i yobou sesshu)
Rotavirus 2 or 3 2 months
Mumps 2 1 year Can be taken together with MR and Chicken Pox
Influenza 1/year 6 months Recommended to be taken annually in autumn
Hepatitis A 3 1 year
Meningococcus 1 2 years

It is recommended to compare the immunization requirements and schedule in your home country and in Japan, and decide which immunization to receive and when.

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