Application for issuance of fourth vaccination ticket for those under 60 with underlying diseases

Applicant

Those aged 18 or over and under 60 who have a resident card in Nerima Ward, have completed the third vaccination, and meet the following criteria:

  • Those with underlying diseases indicated by the government
  • Those who are recognized by a doctor as having a high risk of aggravation if infected with the new coronavirus infection

(explanatory note) It is necessary for five months or more to pass from the completion of the third inoculation to receive the fourth inoculation.

Those who do not need to apply

Vaccination tickets will be sent to those who fall under the following categories, so no application is required.

  • Those who have a physical disability certificate and have heart, respiratory, kidney, or liver dysfunction (as of April 22, 2022)
  • Those who have a notebook of love (as of March 31, 2022)
  • Those who have a mental disability health welfare notebook (as of March 31, 2022)
  • Those who have a self-reliance support medical recipient certificate (mental hospital) and fall under "severe and continuous" (as of March 31, 2022)

(Explanatory Note) Regarding “severe and continuous”, it is described in the “high-cost treatment continuation person (severe and continuous)” column of the recipient certificate.

  • No. 2 insured persons of long-term care insurance who are certified as requiring long-term care or support (as of April 27, 2022)
  • Those who applied for the issuance of a vaccination ticket before the due date due to an underlying disease at the time of the first vaccination.

Underlying diseases indicated by the country

  1. chronic respiratory illness
  2. Chronic heart disease (including hypertension)
  3. chronic kidney disease
  4. Chronic liver disease (such as cirrhosis)
  5. Diabetes mellitus being treated with insulin or oral medications or comorbid diabetes
  6. Blood diseases (excluding iron deficiency anemia)
  7. Diseases that weaken the immune system (including malignancies undergoing treatment or palliative care)
  8. Receiving treatment that weakens the immune system, such as steroids
  9. Neurological and neuromuscular diseases associated with immune abnormalities
  10. A condition in which the body is weakened due to a neurological or neuromuscular disorder (such as breathing problems)
  11. chromosomal abnormality
  12. Severe psychosomatic disability (combination of severe physical disability and severe intellectual disability)
  13. sleep apnea syndrome
  14. Severe mental illness (if you are hospitalized for treatment of mental illness, have a mental disability health and welfare notebook, or fall under "severe and continuous" in independence support medical care (psychiatric outpatient medical care)) or intellectual Disability (if you have a rehabilitation certificate)
  15. Obese people who meet the criteria (BMI 30 or more)

BMI = weight (kg) / height (m) / height (m)
(Example) Estimated BMI 30: Height 170 cm, weight approx. 87 kg, Height 160 cm, weight approx. 77 kg

Application method

The application method is electronic application. Please apply using the application form below.
(Note) For those who have difficulty in electronic application due to visual impairment, etc., please contact the new coronavirus vaccination call center.

【important】

  • Please note that we cannot accept your application if any of your name, address, or date of birth is entered incorrectly.
  • We do not respond to inquiries regarding application acceptance.

application formLink to external site: Opens in a new window.

When to send the vaccination ticket

The ticket for the 4th vaccination will be sent to applicants approximately 2 weeks before the 5th month from the date of the 3rd vaccination. If 5 months have already passed, it will be sent in about 2 weeks from the application.

inquiry

Nerima Ward New Coronavirus Vaccination Call Center Phone: 0120-427-417 Fax: 03-3993-6553

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