Prophylaxis and vaccination
Vaccination and list of vaccines
Tokyo Midtown Clinic offers a wide range of vaccines and malaria prevention medications. Use them to help prevent various infectious diseases and take precautions before traveling abroad.
We can provide polio vaccine, meninogococcal vaccine, DPT vaccine, HPV vaccines (Gardasil, Sylgard®XNUMX) at any time. So please feel free to contact us by phone.Vaccination fee will be charged each time and there will be additional costs such as consultation fee and follow-up consultation fee.Depending on the type of vaccine, a separate pre-counseling fee may be charged. Please contact us for more information.
- Malaria prevention drug "Mefloquine (Mefalquin®") is temporarily unavailable at present.
There are diseases that can be prevented by vaccination
As we age, our bodily functions, such as our immune system and physical strength, decline, making us more susceptible to infectious diseases such as pneumonia and shingles.
Vaccination has the advantage of preventing these infectious diseases and reducing the severity of the illness if it does occur.
Vaccines in the spotlight
Preventing pneumonia and reducing its severity
Incidence increases from age 50 onwards. Approximately 90 % can be prevented.
List of vaccines and preventive medicines available (domestic approved vaccines)
| Vaccine Name | Transmission | Eligible persons | Inoculation Method/expiration date | Price (tax included) /dose |
|---|---|---|---|---|
| Hepatitis A vaccine | Ingestion of food or drink contaminated with feces of an infected person, or contact with an infected person. | Travelers to countries or regions with poor sanitation. |  Two doses at 2-4 week intervals, one booster dose after 2 months to maintain long-term antibodies. / Although there is no clear data, two doses will last several years, and three doses will last more than five years. | 8,800yen |
| Hepatitis B vaccine | Contact with infected people, exposure to blood and body fluids. Mother-to-child transmission. | Medical workers. People who have been staying in endemic areas for a long time. (There is a risk of infection through medical procedures such as blood transfusions.) | Two doses at 4-week intervals, follwed by one booster vaccination six months later. /Individual diffrences exist. In Some people have difficulty acquiring antibodies. Once antibody production is confirmed, no booster vaccination is necessary. | 7,810yen |
| Tetanus toxoid | Wounds and puncture wounds during outdoor activities (if soil gets into the wound) | Those staying overseas for a long period of time. Those taking part in outdoor activities or relief activities. | Two doses at 3-8 week intervals. One booster dose one year later. Every 2 years thereafter./10 to 20 years | 4,400yen |
| Japanese Encephalitis Vaccine | Bites from mosquitoes carrying the virus | Long-term residents in suburban and rural areas of Southeast Asia. | Two doses at 1-4 week intervals. One booster dose one year later. If basic vaccinations have been completed in childhood, one booster dose is generally required./4 to 5 years | 6,600yen |
| Pneumococcal vaccine (Pneumovax NP®) | Air-borne infection or auto-infection form nasal cavity | Elderly people aged 65 or older and people at high risk of pneumococcal infection and serious illness | one dose/five years | 11,000yen |
| Pneumococcal vaccine (Prevnar 20®) | Air-borne infection or auto-infection form nasal cavity | Elderly people aged 65 or older and people at high risk of pneumococcal infection and serious illness | one dose/five years | 16,500yen |
| Shingles vaccine (Shingrix®) | The varicella-zoster virus in the body becomes active again, causing the disease. | Adults aged 50 and over | Two doses in two months apart/For about 2 years as of now (clinical trials still ongoing) | 27,500yen |
| Influenza vaccine (Mid-October to March) | Droplet infection from an infected person | Anyone with no contraindications to influenza vaccination. | Vaccination once a year. / About five months | Varies by year |
| HPV vaccine "Sylgard 9®' Click for details | Mainly transmitted by sexual intercourse | Our clinic is for people aged 16 or older or those who have graduated from junior high school. | Three times in six months (at first, two, six months)/approx. six years | 38,500yen (3-session set: 110,000 yen) |
| HPV vaccine "Gardasil®' Click for details | 22,000yen | |||
| Measles vaccine | Airborne infection from an infected person | People who have never had measles and have never received the measles vaccine. |  One booster dose for adults with impaired immunity/approx. twenty years | 7,700yen |
| Rubella vaccine | Droplet infection from an infected person | People who have never had rubella and have never received the vaccine. | One booster dose for adults with impaired immunity/approx. twenty years | 7,700yen |
| MR vaccine (Measles and rubella combined) | Airborne and droplet infection from infected individuals | People who have never had measles or rubella and have never received the vaccine. | One booster dose for adults with impaired immunity/approx. twenty years | 11,000yen |
| Mumps vaccine | Droplet infection from an infected person | People who have never had mumps and have never received the vaccine. | One booster dose for adults with impaired immunity/eight years or more | 7,700yen |
| Chickenpox vaccine (Chickenpox) | Airborne infection from an infected person | People who have never had chickenpox and have never received the vaccine. | One booster dose for adults with impaired immunity/ten-twenty years | 9,900yen |
Vaccines not approved in Japan (imported)
| Vaccine Name | Transmission | Eligible persons | Inoculation Method/expiration date | Price (tax included) /dose |
|---|---|---|---|---|
| Typhoid vaccine (Typhim Vi®) | Ingestion of food or drink contaminated with feces of an infected person, or contact with an infected person. | Travelers to countries or regions with poor sanitation. | One dose/3years | 13,750yen |
| Rabies vaccine (verorab®) | A bite from a mammal infected with the rabies virus. | Long-term residents of developing countries, those with a high probability of coming into contact with animals, and those staying in remote areas where it is difficult to seek medical attention promptly. | ［Pre-exposure] Inoculation on days 0, 7, 21, or 28.<br>［Post-exposure] First dose on day 0, followed by 4 doses on days 3, 7, 14 and 30 (all together 5 does)./Booster dose after one year followed by once in every 5 year | 19,800yen |
Malaria prevention drugs
| malaria Preventive medications | Transmission | Eligible persons | How to take/Expiration date | Price (tax included) |
|---|---|---|---|---|
| *This product is temporarily unavailable at present. Mefloquine (Mephaquine®) | Bites from Anopheles mosquitoes carrying the malaria parasites | Travelers to malaria-endemic areas | Take one tablet orally per week. Take one tablet one week before entering an endemic area, then take one tablet per week during the trip, and after returning home, continue taking one tablet per week for four weeks. / Effective while taking the drug | 1 tablet 1,400 yen |
| Doxycycline | Bites from Anopheles mosquitoes carrying the malaria parasites | Travelers to malaria-endemic areas | Take one tablet orally per day. Start taking the medicine one day before entering the endemic area and take it every day, then take one tablet per day for four weeks after returning home. / Effective while taking the medicine | Outpatient prescriptions (self-paid prescriptions) |
| Atovaquone and Prognil (Malarone®) | Bites from Anopheles mosquitoes carrying the malaria parasites | Travelers to malaria-endemic areas | Take one tablet orally per day. Start taking the medicine one day before entering the endemic area and take it every day, and take one table per day for 1 days after returning home./Effective while taking the medicine | 1 tablet 830 yen |
There will be a separate consultation fee for vaccinations and self-paid prescriptions.
- Please note that all fees may change without notice.
Points to Note
- Vaccinations for travel, business trips, and overseas postings (travel vaccines) are determined by the destination, duration, season, region, and purpose of the trip, and the type and schedule of recommended vaccines will be decided accordingly. There may be cases where some vaccines are not in stock, so please call us before coming for a consultation.
Some vaccines require multiple doses, so it is best to start vaccinations at least two months in advance, so please contact us as soon as your travel dates have been decided. - In principle, vaccinations cannot be administered during pregnancy, but influenza virus vaccinations are recommended for pregnant women, so they can be administered.
- If you are undergoing treatment that weakens your immune system, such as chemotherapy or steroids, please check with your doctor to see if you can receive the vaccine.
For those who are eligible for vaccinations
Precautions before taking the test (please read carefully)
01 Side effects of vaccinations
Mild side effects
You may experience redness, swelling, or itching at the injection site, but these will usually subside naturally, so there is no need to worry. However, if you experience a severe reaction, please contact us.
Strong side effects
Although it is extremely rare, a strong allergic reaction may occur within 30 minutes to an hour after vaccination, causing hives, difficulty breathing, and a drop in blood pressure. In this case, emergency treatment is required. Please monitor yourself for an hour after the injection, and if any symptoms appear, contact a hospital immediately.
02 Simultaneous vaccination
If there is limited time before departure, simultaneous vaccinations (vaccination of two or more vaccines on the same day) may be performed. This is a method that is actually widely used in other countries, and in Japan, the vaccination guidelines state that "if a doctor deems it necessary, simultaneous vaccinations may be performed," and there are no laws prohibiting this. Most people at our clinic use this method.
However, if you are to receive both vaccinations at the same time, you will need to agree that in the extremely rare event that a serious side effect occurs after receiving the vaccinations, there is currently no sufficient relief system in place under Japanese law, and you will be responsible for any consequences. Therefore, please note that we will ask you to sign a separate consent form before receiving the vaccination.
03 Unapproved vaccines
Rabies and typhoid fever are rare in Japan, but if diagnosis is delayed, they can be fatal, and vaccines are recommended for those planning to travel to endemic areas for long periods of time. Unfortunately, these vaccines are not approved in Japan. In addition, domestic rabies vaccines are sometimes not in stable supply when domestic demand increases, so our clinic imports and provides vaccines that are approved and commonly used overseas.
Although this vaccine has not been approved in Japan, it is approved and widely used overseas. In most cases, the vaccination is administered without any problems, but there is a possibility that side effects may occur, ranging from mild local reactions to extremely rare cases of serious side effects or poor physical condition. If any side effects occur, unlike vaccinations approved in Japan, legal guarantees and relief systems will not apply, so you must agree to take responsibility for any such side effects.
Precautions after vaccination
- Please monitor yourself for about an hour after the vaccination. Although extremely rare, serious side effects (anaphylaxis) usually occur within 30 minutes.
- There is no problem with taking a bath on the day.
- Please refrain from drinking alcohol or engaging in strenuous exercise within 24 hours of receiving the vaccine.
- If you experience any symptoms that you believe to be side effects after vaccination or have any concerns, please contact our clinic.
Frequently asked questions about vaccinations
- What is a vaccine?
Vaccines are medicines that use the immune system to prevent various infectious diseases.
Vaccination helps build immunity in the body against viruses and pathogens, thereby preventing infectious diseases.
Even if you do get an infection, it may be possible to reduce the severity of the infection.- What are "live vaccines" and "inactivated vaccines"?
A "live vaccine" is a vaccine that has been created by weakening or neutralizing the toxicity of viruses or bacteria so that they do not have any adverse effects in the body. After vaccination, the weakened viruses or bacteria gradually multiply in the body, allowing the body to build up immunity in a state close to natural infection.
"Inactivated vaccines" are made from raw materials that have had the infectiousness of viruses and bacteria eliminated through chemical processing, etc. Compared to "live vaccines," the immune system produced in the body is weaker, so many inactivated vaccines require multiple doses.- Are there any side effects?
Vaccines can cause side effects, but most are mild.
Redness, swelling, and itching may occur at the injection site, but these usually subside on their own.
In extremely rare cases, severe allergic reactions, hives, difficulty breathing, and low blood pressure may occur."Precautions for those who are to receive vaccinations"
Doctor’s Profile
Ikumi Genka
Tokyo Midtown Clinic
Department of Medicine: Infectious Diseases
- Certifications and Affiliations
- Doctor of Medicine
Certified Physician and Specialist by the Japanese Society of Internal Medicine
Certified Specialist by the Japanese Association of Infectious Diseases
ICD (Infection Control Doctor) - Biography
- 1991 Graduated from Nihon University School of Medicine
After working at the infectious disease and travel outpatient clinic of the International Medical Center of Japan,
