The Human Papilloma Virus (HPV) Vaccine Precautions and Vaccination Certificate

The Human Papilloma Virus (HPV) Vaccine Precautions and Vaccination Certificate

ヒトパピローマウイルス予防接種後の注意事項及び接種済証

ヒトパピローマウイルス予防接種後の注意事項及び接種済証① You should monitor your or your child's health to see if there are any changes during the first 24 hours after
vaccination. Please be extra careful for a sudden change in health during the first 30 minutes.

① You should monitor your or your child's health to see if there are any changes during the first 24 hours aftervaccination. Please be extra careful for a sudden change in health during the first 30 minutes.

② If you or your child has an unusual reaction on the site of injection or if you notice any changes to your or yourchild's health, you should see your or your child's doctor.

② If you or your child has an unusual reaction on the site of injection or if you notice any changes to your or yourchild's health, you should see your or your child's doctor.

③ Keep the site of injection clean and avoid intense exercises on the day of vaccination.

③ Keep the site of injection clean and avoid intense exercises on the day of vaccination.

④ You or your child may take a bath after vaccination.

④ You or your child may take a bath after vaccination.

■Side effects■ Please refer to the leaflet issued by the Ministry of Health, Labour and Welfare (MHLW). (Available in Japanese only)
Some side effects include pain, warmth, swelling and redness at the site of injection. Other symptoms such asmuscle pain, fatigue, discomfort, chill, headache, high temperature may be developed but these should disappear
within a few days. Very rare and severe side effects include severe allergic reactions and reactions of nervoussystem.

■Side effects■ Please refer to the leaflet issued by the Ministry of Health, Labour and Welfare (MHLW). (Available in Japanese only)
Some side effects include pain, warmth, swelling and redness at the site of injection. Other symptoms such asmuscle pain, fatigue, discomfort, chill, headache, high temperature may be developed but these should disappear
within a few days. Very rare and severe side effects include severe allergic reactions and reactions of nervoussystem.

■Contact information for HPV vaccine inquiry ■■Contact information for HPV vaccine inquiry ■・If you or your child develops any unusual symptoms;

・If you or your child develops any unusual symptoms;→ Talk to the doctor who gave the vaccination, your doctor or an affiliated healthcare facility for HPV vaccine side effects.

→ Talk to the doctor who gave the vaccination, your doctor or an affiliated healthcare facility for HPV vaccine side effects.

N.B. Before visiting an affiliated healthcare facility, talk to the doctor who gave the vaccination or your doctor first.

N.B. Before visiting an affiliated healthcare facility, talk to the doctor who gave the vaccination or your doctor first.

・If you have any questions regarding the relief program for health damage caused by vaccination;

・If you have any questions regarding the relief program for health damage caused by vaccination;→ Inquire at the Health Promotion Division of Tsukuba City Hall

→ Inquire at the Health Promotion Division of Tsukuba City Hall

If the vaccination is recorded in the Mother and Child Health Handbook, the certificate below can be left blank.

If the vaccination is recorded in the Mother and Child Health Handbook, the certificate below can be left blank.

HPV Vaccination Certificate

HPV Vaccination Certificate

Address:

Address:

Name:

Name:

Date of birth:
Number of doses//(yyyy/mm/dd)

Date of birth:

Date of vaccination

Name of the healthcare facility

Name of the vaccine
and its lot number

接種年月日

医療機関名

ワクチン名/ロット

Number of doses

1st dose

1st dose

2nd dose

2nd dose

3rd dose

3rd dose//(yyyy/mm/dd)

Date of vaccination

Name of the healthcare facility

Name of the vaccineand its lot number

接種年月日

医療機関名

ワクチン名/ロット

N.B. If the vaccination cannot be recorded in your or your child's Mother and Child Health Handbook due to loss or otherreasons, please bring this form with you for your next dose or doses.

N.B. If the vaccination cannot be recorded in your or your child's Mother and Child Health Handbook due to loss or otherreasons, please bring this form with you for your next dose or doses.

You can use this form as proof of your vaccination so please keep it safe.

You can use this form as proof of your vaccination so please keep it safe.

Contact information:
Vaccination and Infection Control Measures Office of Tsukuba City
Phone: 029-883-1111 (main number)←HPV vaccine
information
available on theMHLW website(Available in Japanese only)

Contact information:
Vaccination and Infection Control Measures Office of Tsukuba City
Phone: 029-883-1111 (main number)←HPV vaccine
information
available on theMHLW website(Available in Japanese only)