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Application for the booster shot (3rd and 4th dose) vaccination voucher

  1. 1

    Input your information

  2. 2

    Confirmation of your information

  3. 3

    Completion of the application for reissue

About the Application for the booster shot (3rd and 4th dose) vaccination voucher

【The 3rd dose】
If you do not receive the voucher for the booster shot (3rd dose) even when it is time to issue the voucher announced by your municipality, please apply to re-issue the voucher.
Please be aware that it is especially necessary to apply for the voucher in the case of following:
・if you moved to another city after receiving the 2nd dose
・if you received your vaccination oversea (only for those who have completed 2 doses of Pfizer(including Pfizer for 5 to 11 years old.) , Moderna, AstraZeneca or Novavax)
・if you received 2 doses of vaccination through the oversea Japanese vaccination service.

【The 4th dose】
If you are the target of the 4th dose but do not receive the voucher for the booster shot (4th dose) even when it is time to issue the voucher announced by your municipality, please apply to re-issue the voucher.
Please be aware that it is especially necessary to apply for the voucher in the case of following:
・if you moved to another city after receiving the 3rd dose
・if you received your vaccination oversea (only for those who have completed 3 doses of Pfizer(only for people aged 12 years and older.) , Moderna, or Novavax)
・if you received 3 doses of vaccination through the oversea Japanese vaccination service.

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 (3rd and 4th dose)

【The 3rd dose】
The 3rd dose is for people over 5 years old who have completed the 2nd dose.

【The 4th dose】
The 4th dose is for the following people who have completed the 3rd inoculation:
・If you are aged 60 years and older
・If you are aged 18 to 59 and have underlying illness
 Others who are recognized by doctors as having a high risk of aggravation.
・If you are aged 18 to 59 and medical personnel, etc.
・If you are aged 18 to 59 and employees of senior citizen facilities, etc.

Application for the booster shot (3rd and 4th dose) vaccination voucher

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

Municipality on the certification of residence
Confirmation
Name
Date of birth

The address on the certification of residence

The number of vaccination
Reason for notification

Status of the 1st and 2nd dose of vaccination

The 1st dose of vaccination
The 2nd dose of vaccination
Reasons for being eligible for the 4th dose

Status of the 3rd dose of vaccination

The 3rd dose of vaccination

Confirmation of your information

  1. 1

    Input your information

  2. 2

    Confirmation of your information

  3. 3

    Completion of the application for reissue

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 (3rd or 4th dose) from your previous address, please discard it.
Name
Date of birth
Phone number
The address on the certification of residence
Shipping address
The number of vaccination
Reason for notification
Status of the 1st and 2nd dose of vaccination
The 1st dose of vaccination
Date of vaccination
Type of vaccination
Method of vaccination
The 2nd dose of vaccination
Date of vaccination
Type of vaccination
Method of vaccination
Reasons for being eligible for the 4th dose
Aged 60 years and older
Aged 18 to 59 and have underlying illnesses and are outpatient / hospitalized
Chronic respiratory illness
Chronic heart disease (including high blood pressure)
Chronic kidney disease
Chronic liver disease (cirrhosis, etc.)
Diabetics
Blood disorders (except iron deficiency anemia)
Diseases that reduce immunity (including malignant tumors)
Reduces immune function
Neurological disorder
Decreased physical function (breathing disorders, etc.)
Chromosomal abnormality
Severe physical and mental disabilities
Sleep apnea syndrome
Severe mental illness or intellectual disability(*1)
Aged 18 to 59 and the BMI over 30
Aged 18 to 59 and high risk of aggravation
Aged 18 to 59 and medical personnel, etc.
Aged 18 to 59 and employees of senior citizen facilities, etc.
Status of the 3rd dose of vaccination
The 3rd dose of vaccination
Date of vaccination
Type of vaccination
Method of vaccination

Application for reissue completed

  1. 1

    Input your information

  2. 2

    Confirmation of your information

  3. 3

    Completion of the application for reissue

Application for reissue 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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