Vaccination and medical checkup for kids in Japan

Vaccination for newborns will start only when the baby turns 2 months.  And there will be medical checkup for them in every ward office at scheduled time intervals.

For me, I got the vaccination chart and vouchers in my mail when my baby passed one month. There were vouchers of six different vaccinations each in different colours. The voucher is a questionnaire for you, with your baby’s name, address etc. written on it. For me, I got the Japanese version of the vouchers, I think in cities like Tokyo, you will get an English version if you wish to. There was also the details about each vaccine, the list of clinics where each vaccination is available, as well a sample schedule of vaccinations. If you wish to take vaccinations for your kid as per your nation’s schedule, it is possible to talk with your doctor and follow it.

Vaccination voucher

This is the voucher that I got by mail. All the papers are similar to same questions and other contents. For every vaccination, there will be such questionnaire same as the number of doses. The colour of the paper is different for each kind of vaccinations.

You have to take the filled up voucher for respective vaccination along with the Boshitecho to the hospital/clinic. The doctor will check baby’s health condition and take the vaccination. He will enter the details of vaccination in the Boshitecho along with a seal taken from the vaccine bottle. If your baby is having a cold or high temperature, you will be advised to postpone it until your baby recovers. In some months, there will be three or four needles. Vaccination will be taken in 28 days of intervals only.

Among these, BCG in Japan is entirely different from that of other nations. Apart from the single needle used for taking the injections, BCG is taken using a seal of nine needles. Taken twice on the upper arms, it will leave the mark of 18 needle pricks on your baby’s skin. After taking the vaccination, the doctor will leave your baby under observation for some 10 minutes. This scar will become more reddish, and pussy after a month. If it becomes worse, we have to take the kid to the doctor. It will normally get cured in some days, leaving a scar for long months. As the baby grown up it will get vanished partially.

The vaccine was taken on April 19th. BCG scar of my baby after a month when it became visible.

After a month(May 19)

On May 29

On Jun 15

If you are planning to travel with your baby or moving from Japan, you must seek doctor’s advice about further vaccinations. If your trip to your home country lasts for some months during the vaccination period, you should discuss it with the doctor. You can either take it before your trip or after it if it is a short-term stay. These are the list of the mandatory vaccinations and their timings as per the Japanese listing. These are free of cost if you take these vouchers given by your ward office with you.

  1. Haemophilus Influenza Type B(Hib)- 3 doses between 2 and 5 months of age and one dose(booster) anytime between 12 and 19 months (Total 4 doses)
  2. Streptococcus pneumonia-3 doses between 2 and 4 months of age and one dose(booster) anytime between 12 and 15 months (Total 4 doses)
  3. Diphtheria, Pertussis, Tetanus, and polio- 3 doses between 3 and 6 months of age and one dose(booster) anytime between 18 and 19 months (Total 4 doses)
  4. BCG- 1 dose in 5 to 6 months.
  5. Measles.Rubella- 1 dose in 12 and 19 months and the second dose at the age of 5 or 6.
  6. Japanese Encephalitis-1st dose at 2 to 3 years and the second dose in between 9-12 years.
  7. Human Papilloma virus(HPV)-3 doses after 10 years age.

There are some optional vaccinations also, which you can take as per your interest.

  1. Varicella
  2. Mumps
  3. Hepatitis B(HBV)
  4. Influenza
  5. Rotavirus

These are paid vaccinations, the cost of which varies depending on your ward/ city and the clinic/hospital you are planning to take it. For the details about it, you can check city/ ward website or ask your doctor.

For details about the regular medical checkup for kids(up to 3 years), please read this.