Guide to the 3rd,4th,5th COVID-19 vaccination shot (for children aged 5-11 Years)　新型コロナウイルスワクチン小児接種３・４・５回目のご案内

• Vaccination vouchers (For children) are being sent to children ages 5 to 11 who are subject to the third,fourth,fifth vaccination.
• Guardians should check the following information.
• This vaccination is not mandatory. Understand both the preventive benefits and risk of side effects before considering whether the child should get the vaccination.
• In Yokohama City, Omicron strain adapted bivalent vaccine is available after March 20, 2023.
• Please see the link below for requirements for those eligible for vaccination after May 8, 2023. Even if you are not eligible, please keep your vaccination voucher until this Autumn.

• The vaccination voucher arrives
• Make a reservation for the vaccination　→　2. Making a reservation
• Reservation applications can be made immediately with the enclosed vaccination voucher.
• Receive the vaccination→　５.Points to Note and Items to Submit on the Day of Vaccination

※Covid-19 vaccine and influenza vaccine can be recieve at the same time.However ,The COVID-19 vaccination generally cannot be provided at the same time as other vaccinations. If the child will get the COVID-19 vaccination and a different vaccination, at least 2 weeks must pass between the vaccinations. (Exceptions: tetanus vaccine for cuts, emergency vaccines, etc.)　

The medical institutions providing the vaccination and the reservation procedure are explained on the Yokohama City website. Talk to your family doctor, and then make a direct reservation with one of the medical institutions on the list.
【List of medical institutions and　Reservation procedure】(Japanese page)
https://www.city.yokohama.lg.jp/kurashi/kenko-iryo/yobosesshu/vaccine/vaccine-portal/shoni-yoyaku.html
※The reservation procedure and times may differ depending on the medical institution.

City’s dedicated reservation website（外部サイト）
Hours: 24-hours a day (also accepted on Saturdays, Sundays, and national holidays)

Course for the City's dedicated reservation website from login through reservation
(1) Access the site
Use the above Link to access the dedicated reservation website.
*The dedicated reservation website does not support Internet Explorer. Use Microsoft Edge, Google Chrome, or another browser.
(2) Log in (People who used the site for reserving their first or second vaccination may proceed to (5).)
Enter the [Vaccination Voucher Number] listed on your vaccination voucher.
Your password when logging in for the first time is your own birthday in eight characters (YYYYMMDD)
(Example: If you were born on January 1st, 2015→20150101)

*If you have a password that you used previous vaccinations shots, please use that.
(3) Register your e-mail address and confirm receipt of e-mail (first login only)
(4) Register your name (Katakana) and telephone number (If not registered previously)
(5) Proceed to the reservation screen from [Reserve/Amend] on “My Page”
(6) Proceed to the search screen from [Select Vaccination Venue]
(7) Search for a vaccination venue

It is possible to search by categories such as [Vaccine Type], [Vaccination Venue] and [Specified Date] etc.
(8) Select the date and time of the reservation
(9) Confirm that the reservation has been completed and double check the reservation details.

A confirmation screen will be displayed, and an email will be sent to the email address registered.

City of Yokohama Official LINE account （外部サイト）
Hours: 24-hours a day (also accepted on Saturdays, Sundays, and national holidays)
*Registering for a reservation account on LINE will mean that you are no longer able to make reservations from the dedicated reservation site.

TEL: 0120-045-112
Hours: 09:00 to 19:00 (also accepted on Saturdays, Sundays, and national holidays)
*Make sure you dial the correct number.

FAX: 045-550-4226
Hours: 09:00 to 19:00 (weekdays only)
People with hearing impairments who cannot apply over the phone or online using a PC or smartphone may apply for reservations by fax. See the City website for further details. (Japanese page)
Vaccination reservation for the hearing impaired

TEL: 0120-045-154
Hours: 09:00 to 19:00 (also accepted on Saturdays, Sundays, and national holidays)
*The Dedicated phone for reservation cancellation only accepts the cancellation of Third Vaccination at a Venue Reserved via the City. It is also possible to cancel reservations made on the reservation website.

The methods of making reservations at medical institutions differ.
【List of medical institutions and　Reservation procedure】(Japanese page)
https://www.city.yokohama.lg.jp/kurashi/kenko-iryo/yobosesshu/vaccine/vaccine-portal/shoni-yoyaku.html

• Pfizer makes a vaccine for children.
• The vaccine for individuals ages 12 and up is a different type of vaccine with a different dosage and administration.
• Before the vaccination, please also read the following URL link.

【Effectiveness and Adverse Reactions of Vaccines for Children】(Japanese page)
https://www.city.yokohama.lg.jp/kurashi/kenko-iryo/yobosesshu/vaccine/vaccine-portal/shoni-effects.html
　

Children should receive the adult vaccine if turn 12 years old.
Even if children turn 12 years old, they can use same vaccination voucher.
(Adult vaccine is available from the day prior to the 12th birthday.)
After May 8, 2023, only those with underlying medical conditions may receive the vaccine for ages 12 and older. Those who wish to be vaccinated must be vaccinated by May 7, or wait until the autumn of 2023.

Vaccination is available for those who meet any of the following criteria.

Those who have not been vaccinated for the third time can receive the Omicron strain adapted bivalent vaccine.

Those who have never been vaccinated against Omicron strain adapted bivalent vaccine can also be vaccinated.

Persons with any of the following underlying diseases are eligible for vaccination, even if they have received one dose of Omicron strain adapted bivalent vaccine prior to May 7, 2023.

• Chronic respiratory diseases
• Chronic heart disease
• Chronic renal disease
• Neurological and neuromuscular disorders
• Blood disorders
• Diabetes and metabolic disorders
• Malignant tumors
• Rheumatoid arthritis, collagen diseases
• Endocrine disorders
• Digestive disorders, liver diseases, etc.
• Suppressed immune system due to congenital immunodeficiency disorders, HIV infection, or other diseases or treatments
• Other pediatric diseases, etc.

• The vaccination is free.
• Guardians must accompany their children. (If this is difficult, a relative, etc., who is familiar with the health condition of the child to be vaccinated can be present on behalf of the guardian. A letter of attorney is not required, but the guardian's signature is required on the pre-vaccination medical questionnaire.)
• If the child to be vaccinated or the accompanying guardian has a fever or is otherwise unwell, cancel the reservation and change it to a different day.
• Have the child wear clothing that provides easy access to the shoulders.

【Things included in this envelope】
(1) Vaccination voucher

• Do not remove the stickers.
• The bottom right portion of the vaccination voucher (vaccination certificate) is an important document certifying that the vaccination was performed. Keep the voucher after the second shot. Do not dispose of it.

(2) Pre-vaccination medical questionnaire

• In the field for the telephone number, provide a number that can be used to contact a guardian during the day.
• A guardian must provide their signature in the corresponding field.
• Fill in the required items before bringing the sheet.
※Reference※　https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/vaccine_tagengo.html（外部サイト）

【Things to prepare】
(3) Personal identification (for the child to be vaccinated)

•Health insurance card,My Number card,Residence card,Certificate of intellectual disability, etc.
here for a list　：　https://www.city.yokohama.lg.jp/kurashi/kenko-iryo/yobosesshu/vaccine/vaccine-portal/honnin-kakunin.html

(4) Mother and Child Health Handbook
(5) Medication handbook (if available)

After the shot, the child may have pain at the injection site, headaches, diarrhea, muscle or joint pain, fatigue, chills, fever, swollen lymph nodes in the armpits,etc. The child will generally recover from these symptoms within a few days after the shot. If systems persist or are severe, talk to your family doctor or the medical institution that administered the shot.
In extremely rare cases there are reports of possible myocarditis or pericarditis following vaccination.　If you have symptoms such as chest pain, palpitations, shortness of breath, or swelling a few days after the shot, get examined at a medical institution immediately.
In extremely rare cases, Guillain-Barre syndrome has been reported to occur after mRNA vaccinations (Pfizer). If you have symptoms such as weakened limbs or numbness after the shot, get examined at a medical institution immediately.

045-285-0719 (24-hour response)
045-548-3562 (The fax number is for inquiries by those with hearing loss.)
Response Details: Consultations for continuing post-vaccination side effects, etc., and expert consultations that require medical knowledge.
* This service does not provide introductions to individual medical institutions. If medical checkups are required, consult with your family doctor or the medical institution where you received your vaccination.

• The information in this guide is accurate as of April 1,2023.
• The details of this service may change according to conditions at the national level, etc. See Yokohama City's website for the latest information.
• If a guardian wants a child to get the COVID-19 vaccination, the guardian should first understand both the preventive benefits and risk of side effects and discuss it with the child.
• Please do not discriminate against anyone around you, whether vaccinated or not.

• City of Yokohama Website
  • COVID-19 Vaccination
  • Vaccinations for children (ages 5 to 11)
• City of Yokohama LINE Official account
  • https://lin.ee/4J65IPa（外部サイト）
• City of Yokohama Twitter Official account
  • http://twitter.com/yokohama_koho（外部サイト）
• City of Yokohama COVID-19 Vaccination Call Center
  • TEL 0120-045-070
  • *Ensure you call the correct number.
  • Opening Hours: 09:00 to 18:00 (also accepted on Saturdays, Sundays and public and national holidays)
  • Supported languages: English, 中文, 한국어, Tiếng Việt, नेपाली, Português, Español, 日本語
  • FAX 050-3588-7191
  • *The fax number is for inquiries by those with hearing loss.