## V accination priority groups

As pandemic influenza A (H1N1) vaccine is produced sequentially, Groups recommended to receive the vaccine first should be given preference regarding vaccination. Based on the vaccine’s effect that prevents increasing severity, such preference and the standard vaccination schedule are determined as follows. This schedule is based on the assumption that all people in the groups will be vaccinated (two doses, except for healthcare workers). Therefore, the schedule may be accelerated. The number of vaccine doses per capita is now under review (as of October 20).

*The vaccination schedule for other people will be based on the progress of vaccination for the people above.

*“People with underlying diseases (first preference)” are one-year-old infants to third graders in elementary school and those highly likely to develop a serious flu whom doctors consider to be at a certain level of risk.

## V accination sites

Vaccination is available at internal medicine, pediatrics, obstetrics and gynecology clinics, etc.

## Cost of vaccination

The cost for vaccination shall be paid by recipients. If you get two doses of vaccine, the cost at clinics nationwide for the first dose is 3,600 yen and that for the second dose is 2,550 yen (if you get vaccinated at different clinics, the second dose will also cost 3,600 yen). Local government provides a reduction in the cost for low income households.

## Procedures for vaccination

People with high priority should contact their personal doctor or local government to check the detailed schedule and find out which medical institutions provide vaccination services.

When going to receive a vaccine, please present specified documents at the reception to prove that you are eligible to get vaccinated according to the schedule. (Refer to the table below for specified documents.)

Please make a reservation at a medical institution that provides vaccination services. Some institutions do not require reservations. Please contact each medical institution for details.

Some reactions may occur after vaccination, such as swelling at the vaccination spot. Most of such side effects are only temporary, but if you notice any worrisome symptoms or any prolonged symptoms, please call a doctor.

## List of required documents

( i ) People with underlying diseases :

Certificate for preference (issued by your personal doctor)

*This certificate is not required if your personal doctor performs the vaccination.

(ii) Pregnant women :

Maternal and child health handbook

(iii) One-year-old to third graders in elementary school: Maternal and child health handbook or health insurance card

(iv) Guardians of infants under one year old:

Maternal and child health handbook, health insurance card, or certificate of residence

( v ) Guardians, of people who have underlying diseases

but cannot be vaccinated due to physical conditions :

Certificate for preference (the same as (i) above), health insurance card, or certificate of residence

(vi) People whose ages are between fourth

grader in elementary school and a third grader in high school:

Health insurance card, student identification card, or certificate of residence

(vii) People aged 65 or older:

Health insurance card, driver’s license, or certificate of residence