東京ビジネスクリニック

Childhood_Immunizations

Various pediatric vaccines are available, even on weekends, holidays, and during evening hours. We also accept municipal subsidies and public funding programs. Please feel free to consult us

※ To ensure vaccine availability, please contact us in advance to make a reservation.
※ Please be sure to bring your Maternal and Child Health Handbook.

Standard Vaccination Schedule
Routine Immunization
Vaccination begins at 2 months of age.

Three doses are administered at intervals of at least 27 days.

An additional (booster) dose is given once, at least 60 days after the third dose and after the child has reached 1 year of age.

Overview of the Disease
This disease is caused by a bacterium called pneumococcus (Streptococcus pneumoniae).

Most cases occur in children under the age of five, with infants and toddlers being at particularly high risk.

As children begin group life (e.g., daycare or kindergarten), many of them are said to carry this bacterium.

It spreads primarily through respiratory secretions and can lead to serious illnesses such as bacterial meningitis, sepsis, severe pneumonia, and bacterial otitis media (middle ear infection).

To ensure protection, it is important to complete the initial three doses of the vaccine by the age of six months.

※ Reservation Required
Please make your appointment by phone at least one week in advance.
Once your reservation is confirmed, we will proceed with ordering the vaccine. Therefore, we kindly ask that you refrain from canceling.

Standard Vaccination Schedule
Routine Immunization
Vaccination begins at 2 months of age.

Three doses are administered at intervals of 27 to 56 days.

An additional (booster) dose is given 7 to 13 months after the third dose.

Overview of the Disease
Hib (Haemophilus influenzae type b) infection is caused by a bacterium and primarily affects children under the age of 5, with infants and toddlers being especially vulnerable.

It is mainly transmitted through respiratory secretions and can lead to serious illnesses such as pneumonia, sepsis, meningitis, and septic arthritis.

It is estimated that 3–5% of those who develop these severe conditions may die.

In cases of meningitis, around 20% of surviving children are left with long-term complications, such as hearing loss.

Vaccination has been shown to reduce the risk of severe Hib infections by over 95%.

※ Reservation Required
Please make your appointment by phone at least one week in advance.
Once your reservation is confirmed, we will proceed with ordering the vaccine. Therefore, we kindly ask that you refrain from canceling.

Standard Vaccination Schedule
Optional Vaccination

For children aged 6 months to under 13 years, two doses are recommended.

 

The first dose is typically given around October, followed by a second dose 2 to 4 weeks later.

 

For individuals aged 13 years and older, a single dose is generally recommended.

 

It is ideal to complete vaccination by mid-December.

 

Overview of the Disease
Influenza is an illness caused by infection with the influenza virus.

 

It is characterized by the relatively rapid onset of symptoms such as fever above 38°C, joint pain, headache, muscle pain, and general fatigue.

 

In children, influenza can occasionally become severe, sometimes accompanied by acute encephalopathy.

Standard Vaccination Schedule 
Routine Immunization

  • Primary Vaccination (1st phase):

    Two initial doses are given between the ages of 3 and 4 years, spaced 6 to 28 days apart.

    One booster dose is administered approximately 1 year after the second dose.

  • Secondary Vaccination (2nd phase):

    One dose is given between the ages of 9 and 10 years.

Overview of the Disease
Japanese encephalitis is caused by the Japanese encephalitis virus and is transmitted through mosquito bites.

The disease begins with sudden high fever, headache, and vomiting, and can progress to neurological symptoms such as consciousness disturbances and paralysis.

In severe cases, it may lead to lasting aftereffects or even death.

Vaccination against poliovirus, which causes paralysis.

Standard Vaccination Schedule
Routine Immunization
One dose is administered between the ages of 11 and 12.

※ Reservation Required
Please make your appointment by phone at least one week in advance.
Once your reservation is confirmed, we will proceed with ordering the vaccine. Therefore, we kindly ask that you refrain from canceling.

Standard Vaccination Schedule
Routine Immunization
The first dose is administered at 2 months of age, followed by the second dose at 3 months, and the third dose at 7 to 8 months of age.


Overview of the Disease

Hepatitis B is a liver disease caused by infection with the hepatitis B virus (HBV). Infection can occur through contact with blood or body fluids that are contaminated with the virus. Hepatitis B can lead to serious and life-threatening conditions such as hepatitis, liver cirrhosis, and liver cancer.

Standard Vaccination Schedule
Routine Immunization
One dose is given at age 1. The second dose is administered 2 to 6 years after the first dose. It is recommended to receive both the first and second doses together with the MR (measles-rubella) vaccine.


Overview of the Disease

Mumps is a viral infection characterized by swelling of one or both parotid glands, occurring after an incubation period of 2 to 3 weeks. Symptoms usually resolve within 1 to 2 weeks. In some cases, complications such as meningitis or hearing loss may occur. The most common age of onset is 4 years old, followed by 5 and 3 years old. Children aged 3 to 6 years account for approximately 60% of cases.

Standard Vaccination Schedule
Routine Immunization
Vaccination begins between 2 and 7 months of age. Three doses are administered at intervals of at least 20 days (typically between 20 and 56 days). One additional (booster) dose is given at least 6 months (standard: 6 to 18 months) after the third dose.

Disease Overview
The 5-in-1 vaccine protects against: Diphtheria, Pertussis (Whooping Cough), Tetanus, Polio, and Hib.

  • Diphtheria: Transmitted mainly through respiratory secretions. It can form a thick membrane in the throat, causing breathing difficulties and can lead to death. Japan has reported no cases since 1999 thanks to widespread vaccination.
  • Tetanus: Caused by bacteria entering through wounds. The toxin affects nerves, causing muscle stiffness and pain, jaw lock (unable to open the mouth), and may result in death. Immunity can only be acquired through vaccination.
  • Pertussis (Whooping Cough): Highly contagious via respiratory droplets. It causes severe coughing fits with a “whooping” sound. Infants under 6 months are at high risk of complications or death. Immunity wanes over time.
  • Polio: Transmitted through the oral-fecal route. Although often asymptomatic, in rare cases it causes paralysis and lifelong disability. There is no cure, but vaccination prevents the disease. Japan has eradicated polio, but risks remain due to imported cases.
  • Hib (Haemophilus influenzae type b): Primarily affects children under 5. It spreads via respiratory droplets and can lead to pneumonia, sepsis, meningitis, or joint infections. Mortality is 3–5%, and 20% of meningitis survivors may have long-term effects such as hearing loss. Vaccination reduces severe Hib infection risk by over 95%.
※ Reservation Required
Please make your appointment by phone at least one week in advance.
Once your reservation is confirmed, we will proceed with ordering the vaccine. Therefore, we kindly ask that you refrain from canceling.

Standard Vaccination Schedule
Routine Immunization

  • Phase 1: Administered between 12 and 24 months of age. 
  • Phase 2: A single dose is given during the one-year period before entering elementary school (typically in the final year of preschool).

Overview of the Diseases
Measles is caused by the measles virus. About 10 days after infection, symptoms similar to a cold such as fever, cough, and runny nose appear. After 2–3 days of continued fever, high fever and rash develop, and complications such as pneumonia or encephalitis may occur.


Rubella is an acute viral rash illness caused by the rubella virus. If a pregnant woman becomes infected before around the 20th week of pregnancy, there is a high risk of giving birth to a baby with congenital rubella syndrome.

Standard Vaccination Schedule
Routine Immunization
Two doses are given between 12 and 36 months of age.

  • Initial Dose: Typically administered between 12 and 15 months of age.
  • Booster Dose: Can be given at least 3 months after the initial dose. It is generally recommended to administer one dose 6 to 12 months after the initial vaccination.

Overview of the Disease
This is a rash-causing disease caused by the varicella-zoster virus, which spreads through airborne transmission, droplets, and direct contact. After an incubation period of about two weeks, symptoms typically begin with fever and erythema (reddening of the skin), followed by vesicles (blisters), pustules (blisters filled with thick fluid), and then scabbing, at which point the illness resolves. It primarily affects children, with over 90% of cases occurring in those under 9 years of age.

Standard Vaccination Schedule
Routine Vaccination 
There are two types of vaccines available, and both the 2-dose and 3-dose versions offer the same level of effectiveness. Please ensure that the full number of doses is given using the same type of vaccine. The first dose should be administered between 6 weeks and 14 weeks + 6 days of age.

  • Rotarix (Monovalent): Administered in 2 doses. The second dose should be given at least 27 days after the first, and must be completed by 24 weeks of age.
  • RotaTeq (Pentavalent): Administered in 3 doses. The second and third doses should be given at intervals of at least 27 days, and all three doses must be completed by 32 weeks of age.

At our clinic, we recommend the Rotarix (monovalent) vaccine.

Overview of the Disease 
Rotavirus is a common cause of acute gastroenteritis in infants and young children. It typically presents with watery diarrhea, nausea, vomiting, fever, and abdominal pain. Nearly all children are expected to be infected with rotavirus at least once by the age of five.

※ Reservation Required
Please make your appointment by phone at least one week in advance.
Once your reservation is confirmed, we will proceed with ordering the vaccine. Therefore, we kindly ask that you refrain from canceling.

Standard Vaccination Schedule 
Routine Immunization
There are three types of vaccines available, and it is necessary to receive three doses of the same vaccine. Girls in the equivalent of 6th grade through 1st year of high school are eligible for vaccination. (The standard schedule recommends completing all three doses by the end of the 1st year of junior high school.)

  • Cervarix (Bivalent):After the first dose, the second dose is administered with an interval of 1 month, and the third dose is given 6 months after the first dose.
  • Gardasil (Quadrivalent)::After the first dose, the second dose is administered with an interval of 2 months, and the third dose is given 6 months after the first dose.
  • Gardasil 9 (Nonavalent):The vaccination schedule varies depending on the age at the time of the first dose.
    • If 2 doses are required: The second dose is administered 6 months after the first dose.
    • If 3 doses are required: The second dose is administered 2 months after the first dose, and the third dose is given 6 months after the first dose.

Overview of the Disease
Cervical cancer is primarily caused by infection with a virus called Human Papillomavirus (HPV), which is transmitted through sexual contact. HPV is a virus that infects the skin and mucous membranes, and there are over 200 types. In most cases, infection does not cause noticeable symptoms in the early stages, and about 90% of HPV infections are naturally cleared from the body within two years. However, when the virus is not eliminated and the infection becomes persistent, it can eventually lead to cancer.

In Japan, approximately 11,000 cases of cervical cancer are reported each year, with a relatively high incidence among younger women. Additionally, around 2,900 women die from cervical cancer annually.