Application for the booster shot (for vaccinations starting in Autumn 2023) vaccination voucher

1

Input your information
2

Confirmation of your information
3

Completion of the application for the booster shot

About the Application for the booster shot (for vaccinations starting in Autumn 2023) vaccination voucher

【The dose for vaccinations starting in Autumn 2023】
If you do not receive the voucher for the booster shot (for vaccinations starting in Autumn 2023) even when it is time to issue the voucher announced by your municipality, please apply to re-issue the voucher.
In addition, the schedule for sending out vaccination voucher differs depending on the municipality.
Click here for details about the vaccinations starting in Autumn 2023.

Some municipalits do not accept your notifications from this page.

How to apply when your city does not accept the application for the voucher from this website.
Please inquiry at the city for the information about the application at the reception of the city, or application by post.

The target of the booster shot (for vaccinations starting in Autumn 2023)

【The dose for vaccinations starting in Autumn 2023】
The dose for vaccinations starting in Autumn 2023 is for people over 6 months old who have completed the primary vaccination series of COVID-19 vaccination.

Application for the booster shot (for vaccinations starting in Autumn 2023) vaccination voucher

Fill out the form below, and click the "Confirm" button to proceed to the confirm page.

Municipality on the certification of residence

Select the prefecture.

Select a city.

The selected municipality is not currently accepting vaccination coupon applications for the booster shot on the COVID-19 Vaccine Navi. For more information, please contact the municipality.

Confirmation

If you received a voucher for the booster shot from your previous address, please discard it.

Name

First name

Last name

Please enter the last name.

Please enter the last name within 20 characters.

The last name contains invalid characters. Please enter with hiragana, katakana, kanji, and alphanumeric characters, including punctuation and spaces.

Please enter the first name.

Please enter the first name within 20 characters.

The first name contains invalid characters. Please enter with hiragana, katakana, kanji, and alphanumeric characters, including punctuation and spaces.

Date of birth

Please select the year of the date of birth.

Please select the month of the date of birth.

Please select the day of the date of birth.

Please check the date of birth. The selected date does not exist.

Phone number

Please enter the phone number.

Please enter a correct phone number. Please enter 10 digits or 11 digits number beginning with 0.

Please enter the phone number within 11 characters.

The address on the certification of residence

Zip code

Please enter the zip code.

Please enter the zip code with half-width numbers.

Please enter the zip code with 7 charcaters.

Cannot search an address from the zip code.

The address on the certification of residence

Please enter the address.

Please enter the address within 120 characters.

The address contains invalid characters. Please enter with katakana and alphanumeric characters, including punctuation and spaces.

Shipping address
(Only when required)

Shipping address (Only when required)

* Please enter if the shipping address differents from that of your certification of residence.

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Zip code

Please enter the zip code.

Please enter the zip code with half-width numbers.

Please enter the zip code with 7 charcaters.

Cannot search an address from the zip code.

Shipping address

Please enter the address.

Please enter the address within 120 characters.

The address contains invalid characters. Please enter with katakana and alphanumeric characters, including punctuation and spaces.

Name of mansion

Please enter the name of mansion within 40 characters.

The name of mansion contains invalid characters. Please enter with hiragana, katakana, kanji, and alphanumeric characters, including punctuation and spaces.

Inoculation

The dose for vaccinations starting in Autumn 2023

Please select the number of the booster shot vaccination.

Reason for notification

* If you choose "Others", please enter the reason below.

Please select the reason for notification

Please input the reason for notification if you choose "others".

Please enter the reason for notification within 120 characters.

The reason for notification contains invalid characters. Please enter with hiragana, katakana, kanji, and alphanumeric characters, including punctuation and spaces.

Status of the last dose of vaccination

Number of vaccination

The 2nd dose of vaccination

The 3rd dose of vaccination

The 4th dose of vaccination

The 5th dose of vaccination

The 6th dose of vaccination

Date of vaccination

* If the date of vaccination is unclear, please fill in with an approximate date.

Please select the year for the date of the last vaccination.

Please select the month of the last vaccination.

Please select the date of the last vaccination.

Please check the date of the last vaccination. The selected date does not exist.

Type of vaccination

* Please input the vaccine name if you chose "others".

Please select the type of vaccine for the last dose of vaccination.

Please input the vaccine name if you choose "others" for the last dose of vaccination.

The name of vaccine for the last dose of vaccination contains invalid characters. Please enter with hiragana, katakana, kanji, and alphanumeric characters, including punctuation and spaces.

Please enter the name of vaccine for the last dose of vaccination within 120 characters.

Method of vaccination

the city who sent the voucher for vaccination

* If you received your vaccination at a mass vaccination site managed by Self-Defense Force, the province, or the city, please select "vaccination at a vaccination site managed by the city, medical facilities, nursing homes, vaccination site at workplace etc.

Please select the method of the last dose of vaccination.

Please select the prefecture that sent the voucher for vaccination.

Please select the city that sent the voucher for vaccination.

Please input the method of vaccination if you chose "others" for the last dose of vaccination.

The method of the last dose of vaccination contains invalid characters. Please enter with hiragana, katakana, kanji, and alphanumeric characters, including punctuation and spaces.

Please enter the method of vaccination for the last dose of vaccination within 120 characters.

I agree with the terms of use and privacy policy

You must agree to the terms of use and privacy policy.

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Confirmation of your information

1

Input your information
2

Confirmation of your information
3

Completion of the application for the booster shot

Input information

Check the input information, and click the "Submit" button.

Municipality on the certification of residence

Confirmation

If you received a voucher for the booster shot from your previous address, please discard it.

Name

Date of birth

Phone number

The address on the certification of residence

Shipping address

Inoculation

Reason for notification

Status of the last dose of vaccination

Number of vaccination

Date of vaccination

Type of vaccination

Method of vaccination

Application for the booster shot completed

1

Input your information
2

Confirmation of your information
3

Completion of the application for the booster shot

Application for the booster shot has been completed

Please keep this receipt number as it will be necessary for inquiries.
In addition, it will take a certain period of time to issue. Please connect with the municipalities directly if it is urgent.

Apply number:

Apply date:

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