Those aged 65 and over, and those aged 60 to 64 who have a physical disability equivalent to level 1 in either the heart, kidneys, respiratory system, or immune system, can receive the elderly influenza vaccination free of charge. You can

What is influenza vaccination for the elderly?

Elderly person influenza is routine immunization determined by the Immunization Act. The main purpose of elderly influenza vaccination is to prevent individual onset or aggravation of influenza. Therefore, there is no legal obligation to vaccinate even those who are eligible.
In addition, all target people can be inoculated free of charge only this year due to a subsidized project by the Tokyo Metropolitan Government.
The questionnaire was mailed on September 26th .
If you do not receive the pre-examination slip or if you lose it, you can apply for issuance or reissuance at the counter, by phone, by mail, or by fax. For more information, please check Issuance/Reissuance of Pre-examination Slips.

• Persons eligible for vaccination (those who cannot receive vaccinations, and those who need to consult a doctor when receiving vaccinations )
• Preliminary examination slips will be mailed to those who are eligible.
• Implementation period, number of vaccinations, self-pay amount
• About the vaccination interval with the new coronavirus infectious disease vaccine
• Place of inoculation
• Vaccination method ( Issue/reissuance of the vaccination slip, change of delivery address for the vaccination slip, before vaccination, on the day of vaccination, after vaccination )
• Effects of influenza vaccine ( epidemic information )
• Side effects of influenza vaccine

Eligible people for vaccination

Elderly people who are eligible for influenza vaccination are those who are registered as residents of Nakano Ward or those who have been evacuated due to disasters such as earthquakes, and who fall under 1 or 2 below.

1. 65 years of age or older
2. Those aged between 60 and 64 who have heart, kidney, respiratory, or immune system impairments and are equivalent to Level 1 of the Physical Disability Certificate

• The age for both 1 and 2 is the age on the day of vaccination.
• Those who are 64 or 59 years old can be vaccinated from the day before their birthday ( how to count age ).
• Those who will be 65 years old or 60 years old after January 1, 2023 will be eligible from 2023.

Those who cannot receive vaccinations

• Those with a fever of 37.5 degrees Celsius or higher
• Those with serious acute illness
• Those with immune disorders
• Those who are allergic to chicken eggs or products derived from chicken
• Those who have previously experienced anaphylactic shock (severe systemic allergic symptoms such as hives all over the body, vomiting, dyspnea, and decreased blood pressure) within 30 minutes after vaccination.
• Those who have had fever, rash, hives, etc. within 2 days after vaccination before
• Those judged by a doctor to be unsuitable

Those who need to consult a doctor when receiving vaccinations

• Those with heart, kidney or respiratory function impairments that severely restrict daily life
• Those who have impaired immune function due to human immunodeficiency virus to the extent that daily life is almost impossible

We mailed pre-examination vote to target person

For those who are eligible for routine influenza vaccination for the elderly and who are registered as residents of Nakano Ward, the “Elderly Influenza Vaccination Preliminary Examination Sheet”, “List of Contracted Medical Institutions”, and “Information” will be sent out on September 26. I mailed it. When you go for vaccination, please be sure to bring the "Elderly person influenza vaccination preliminary examination vote".

Issuance and re-issuance of pre-examination slips

If you have not received or lost your health checkup slip, or if you have been evacuated due to an earthquake or other disaster and wish to have the elderly flu vaccination, please follow the steps below to apply for the “Elderly Influenza Prevention.” Please apply for issuance/re-issuance of the “Vaccination Preliminary Examination Voucher”.

Application at window

If you are in a hurry to obtain a pre-examination slip, you can apply directly at the counter and we will give you a pre-examination slip on the spot.
At the time of application, please bring a document (such as a health insurance card) that can be used to verify the identity of the person who wishes to be vaccinated.
Please apply at the following window.

• Nakano Ward Public Health Center Vaccination Section (Counter 4 on the 2nd floor)
• Chubu Healthy Welfare Center
• Northern Healthy Welfare Center
• Southern Healthy Welfare Center
• Saginomiya Healthy Welfare Center

Application by mail or fax

Please download the “ Elderly Influenza Vaccination Preliminary Examination Vaccine Issuance/Reissuance Application Form ”, fill in the necessary items, and apply by mail or fax to the Nakano Ward Public Health Center. The staff in charge will check the application contents and send the pre-examination slip to the desired destination.

Address 〒164-0001
2-17-4 Nakano, Nakano-ku, Tokyo Nakano-ku Public Health Center, Health Prevention Division, Vaccination Section

Fax (03) 3382-7765

Apply by phone

If you would like a pre-examination card to be sent to the address where you are registered as a resident, you can apply over the phone. Please contact the Nakano Ward Public Health Center. (Direct: 03-3382-6500)
You cannot apply by phone if you wish to have the pre-examination slip sent to a place other than the place where you registered as a resident, such as sending it to a facility where you are staying or to a medical institution. Please apply at the counter or by mail/fax.

Changing the delivery address of the pre-examination slip

If you wish to have the documents sent to the facility where you are admitted or hospitalized, or to the addresses of your family members, please send the "Request for Change of Delivery Address for Vaccination Items " to the Health Prevention Division of the Nakano Ward Public Health Center.

Implementation period, number of vaccinations, self-pay amount

1. Implementation period From October 1, 2022 to January 31, 2023
2. Number of inoculations 1 time
3. No copayment
   

Originally, the self-pay amount is 2,500 yen, but due to a subsidy project by the Tokyo Metropolitan Government, all eligible people will be free for this year only .

*The self-pay amount for vaccinations for public assistance recipients and Japanese remaining in China will be exempted as usual.

About the vaccination interval with the new coronavirus infectious disease vaccine

Influenza vaccine and new corona vaccine can be vaccinated at the same time. In addition, it is possible to inoculate the other vaccine without opening the vaccination interval, regardless of which one is inoculated first.
* Vaccines other than influenza cannot be vaccinated at the same time as the new corona vaccine. Each can be vaccinated two weeks after receiving the other vaccine.

About simultaneous inoculation of new coronavirus vaccine and elderly person influenza vaccine

At the Tokyo Gyoko Underground Vaccination Center (2-chome, Marunouchi, Chiyoda-ku), you can receive the new coronavirus vaccine and influenza vaccine at the same time.
For more information, please see the Tokyo Metropolitan Government's website " Simultaneous vaccination of the new coronavirus vaccine and influenza vaccine for the elderly (opens in a new window) ".

Place of inoculation

Medical institutions in Nakano Ward

• Influenza vaccination for the elderly can be vaccinated at contracted medical institutions in Nakano Ward. Please see the list of contracted medical institutions in Nakano Ward.

Medical institutions in the 23 wards of Tokyo other than Nakano Ward

• If the medical institution where you wish to be vaccinated is a contracted medical institution in that ward, you can inoculate with Nakano Ward's "Influenza Vaccination Preliminary Examination Sheet". There is no need to contact Nakano Ward.
• If you are not a contracted medical institution, you need to follow the same procedure as "Vaccination outside Tokyo 23 wards" below.

Inoculation outside the 23 wards of Tokyo

If you are registered as a resident in Nakano Ward and wish to be vaccinated in municipalities outside the 23 wards of Tokyo, you will need to apply for the "Elderly Influenza Vaccination Request Form". If vaccination is given without using the “Elderly Persons Influenza Vaccination Request Form”, it will be treated as a voluntary vaccination, and not only will you not be able to receive subsidies for vaccination costs, but also measures related to relief of health damage caused by vaccination (prevention) will be considered. (Article 15, Paragraph 1 of the Vaccination Act) will not be available. Therefore, please be sure to receive the “Elderly Influenza Vaccination Request Form” before getting vaccinated.
If you have been vaccinated at your own expense at a medical institution outside the 23 wards of Tokyo, you can apply for a subsidy for post-vaccination expenses. Please check the application documents, etc., and apply by the application deadline.
For details on how to apply for issuance of a request form and how to apply for a subsidy, please refer to the following "How to apply for a request form", "How to apply for a subsidy ", and " About the issuance of a request form for influenza vaccination for the elderly and the application for a subsidy ". Please refer to it.

Request form issuance application method

If you wish to be vaccinated at a medical institution outside the 23 wards of Tokyo, please apply for issuance of the “Elderly Influenza Vaccination Request Form” using the following application method.
It is person of target person or the family to be able to apply. If it is difficult for you or your family to fill out the application form, it is also possible for the staff of the facility or medical institution where you are staying to apply. In that case, please fill in the relationship with the target person in the relationship column of the " Elderly person influenza vaccination request form grant application form ".

Application at window

Please bring your identification (health insurance card, etc.) and apply at one of the following counters.
At a later date, we will send you an “Elderly person influenza vaccination request form”.

• Nakano Ward Public Health Center Vaccination Section (Counter 4 on the 2nd floor)
• Chubu Healthy Welfare Center
• Northern Healthy Welfare Center
• Southern Healthy Welfare Center
• Saginomiya Healthy Welfare Center

* As a general rule, we do not deliver on the same day. Please allow plenty of time for your application.

Application by mail or fax

Please download the “ Elderly Influenza Vaccination Request Form Issuance Application Form ”, fill in the necessary items, and apply by mail or fax to the Health Prevention Division of the Nakano Ward Public Health Center. We will send the “Elderly person influenza vaccination request form” to your desired destination.

Address 〒164-0001
2-17-4 Nakano, Nakano-ku, Tokyo Nakano-ku Public Health Center, Health Prevention Division, Vaccination Section

Fax (03) 3382-7765

How to apply for cost subsidy

If you have been vaccinated at your own expense at a medical institution outside the 23 wards of Tokyo, you can apply for a subsidy after the vaccination.
Eligible people are those who have been vaccinated using the “Elderly Influenza Vaccination Request Form” between October 1, 2022 and January 31, 2023.
The upper limit of the cost subsidy is 5,375 yen.
(example)
・If the vaccination cost is 5,000 yen, 5,000 yen will be subsidized.
・If the cost of inoculation is 5,500 yen, the upper limit of 5,375 yen will be subsidized.
The application deadline is March 31, 2023 .
Last year's inoculations, before September 2022, and after February 2023 are not eligible for the cost subsidy application.
To apply for subsidies, please mail the following documents or submit them to the Health Prevention Section counter of the Nakano Ward Public Health Center.
Documents 1 and 2 to be submitted are enclosed in the "Elderly Influenza Vaccination Request Form" and sent to you.

Documents to be submitted

1. 2020 Nakano Ward Senior Citizen Influenza Vaccination Expense Subsidy Application Form
2. Account transfer request form (Be careful where the seal is placed.)
3. Receipt of the vaccination medical institution (with the address , name , receipt stamp of the medical institution, and the details of the vaccination )
4. A copy of the inoculated vaccination slip

Inoculation method

before inoculation

Please read the mailed "Information" and make an appointment with the medical institution. A list of contracted medical institutions in Nakano Ward is enclosed in the mailed "Elderly Influenza Vaccination Preliminary Examination Sheet".

On the day of vaccination

Please bring the following items to the medical institution where you made a reservation and get vaccinated.

1. Elderly person influenza vaccination pre-examination sheet (fill in the necessary items in advance)
2. Health insurance card

After inoculation

• Do not rub the injection site vigorously.
• Sudden side effects (anaphylactic shock) may occur within 30 minutes after inoculation . Please be ready to contact the medical institution where you received the vaccination.
• Most of the side reactions appear within 24 hours after inoculation . You may take a bath, but avoid strenuous exercise and heavy drinking, and pay attention to your physical condition.
• Even if you don't know if it's a side reaction or not, if you notice any changes in the injection site or physical condition, immediately see a doctor . For the relief system for health damage caused by vaccination, please proceed to If a health damage occurs .
• The public health center collects and investigates information on health hazards in order to disseminate health and safety information to residents. If you have any questions, please contact us using the contact information on this page below.

Effects of influenza vaccine

• Influenza is an acute respiratory infection caused by the influenza virus, and the incubation period from infection to onset is 2 to 3 days.
• When the disease develops, systemic symptoms such as fever, chills, headache, and myalgia suddenly appear. Many of the respiratory symptoms such as stuffy nose, sore throat, and cough appear later than systemic symptoms, and if there are no complications such as pneumonia or encephalopathy, they resolve within a week.
• The flu vaccine is said to be effective in suppressing the onset of influenza in about 50% of the elderly, and even those who have been vaccinated may contract influenza.

• For prevention methods other than vaccination, please proceed to lifestyle habits to prevent infectious diseases .
• It takes about two weeks for the person to develop resistance to influenza after receiving the vaccination, and the effect is said to last for about five months.
• Influenza viruses often change their antigenicity little by little, and vaccine strains are selected each year based on epidemic forecasts (National Institute of Infectious Diseases). influenza vaccine strain ). Therefore, it is effective to get vaccinated every year. In general, the elderly are effective with one vaccination per winter.

reference

• Ministry of Health, Labor and Welfare Influenza Q&A (opens in a new window)
• National Institute of Infectious Diseases New treatment for influenza encephalopathy (opens in new window)

fashion information

Each person should take measures to prevent the spread of influenza and the spread of infection (hand washing, rest, nutrition and hydration, cough etiquette, moderate indoor humidification and ventilation).

• Nakano Ward Infectious Disease Occurrence Trend Survey Weekly Report
• Tokyo infectious disease information center Tokyo influenza information (we open with new window.)
• Ministry of Health, Labor and Welfare Press Release on Influenza (opens in new window) (opens in new window)

Side effects of influenza vaccination

1. Injection scar redness, fever, swelling, pain, etc.
2. Hives, fever, chills, nausea/vomiting, headache, low blood pressure, general malaise, convulsions, etc.
3. Eye pain and decreased vision (Ministry of Health, Labor and Welfare, Pharmaceuticals and Medical Devices Safety Information No. 325 ), anaphylactic shock (whole body hives, severe systemic allergic symptoms such as vomiting, dyspnea, and decreased blood pressure)

• If symptoms such as 1 to 3 above appear, please consult a doctor.
• If a doctor diagnoses an adverse reaction after vaccination, a report must be submitted immediately to the Pharmaceuticals and Medical Devices Agency Safety Information, Planning and Management Department Information Management Division by fax (0120-176-146). (It is also possible for the recipient or his/her family to submit a report .)

reference

• Request to report suspected side effects of vaccination
• Ministry of Health, Labour and Welfare 66th Health Science Council Immunization/Vaccine Subcommittee Adverse Reaction Examination Subcommittee Materials Report on Suspected Adverse Reactions to Influenza Vaccines (Opens in a new window.)
• PMDA Serious Side Effects Disease Management Manual Anaphylaxis (opens in a new window)
• Japan Vaccine Industry Association What is a side reaction? (Opens in new window.)