About Human Papillomavirus (HPV) Infection Vaccination

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Page ID 1003278 Update Date Reiwa 7, February 11

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The cervical cancer vaccination (HPV vaccine) comes in three types: bivalent, quadrivalent, and nonavalent HPV vaccines.
For details on the vaccination intervals, number of doses, etc., please see below.

(For those equivalent to the first year of high school and eligible for catch-up vaccinations) The period for catch-up vaccinations will be extended.

For women equivalent to first-year high school students in the 6th year of Reiwa and those eligible for catch-up vaccinations, the vaccination deadline for those who have received at least one dose between April 1, 2022, and March 31, 2025, and have not completed their vaccinations has been extended to the end of March 2026.
Please check the details from the link below.

In fiscal year 2013, the human papillomavirus vaccination was added to the regular vaccination schedule.

Cervical cancer is a type of cancer that occurs in the cervix, which is the entrance to the uterus. In Japan, approximately 15,000 people are diagnosed with it each year, and about 3,500 people die from this disease.
Most cervical cancers are caused by HPV (human papillomavirus) infections through sexual intercourse, and it is more common in younger generations, with a recent surge in cases among those in their 20s and 30s.
Vaccination against human papillomavirus infection and regular cervical cancer screenings are effective in preventing the onset of cancer.
If you wish to receive the vaccination, please make sure to understand the effects and side effects of the vaccination before proceeding.

Target Age

  • Currently, girls aged equivalent to 6th grade of elementary school to 1st year of high school as of the vaccination date

Note: For women equivalent to first-year high school students in the 6th year of Reiwa, those who have received at least one vaccination between April 1, 2022, and March 31, 2025, and have not completed their vaccinations, the vaccination deadline will be extended until the end of March 2026.

Note: The Human Papillomavirus Infection Prevention Vaccination (Cervical Cancer Vaccine) has been added to the regular vaccination program as a publicly funded vaccination for girls equivalent to the 6th grade of elementary school to the 1st year of high school since the fiscal year 2013.
However, in June 2013, the Ministry of Health, Labor and Welfare issued a recommendation to municipalities nationwide stating that "this does not mean that regular vaccinations should be suspended, but that they should not be actively recommended," due to the occurrence of rare severe allergic reactions and other health damages after vaccination. Based on this recommendation, our city has refrained from sending recommendation notices to the target population.
As of April 1, 2022, it has switched to active recommendation.

Number of vaccinations

3 times or 2 times
Note: The number of doses required to complete vaccination varies depending on the type of vaccine and the age at which vaccination begins.
For more details, please check the section below titled "Types of Vaccines and Vaccination Intervals."

Types of Vaccines and Vaccination Intervals

Bivalent Vaccine (Cervarix)

Standard Vaccination Interval

  • Second dose: 1 month after the first dose
  • 3rd time: 6 months after the 1st vaccination

If vaccination cannot be done at the standard interval

The second dose should be administered more than one month after the first dose, and the third dose should be administered more than five months after the first dose and more than two and a half months after the second dose.

Quadrivalent Vaccine (Gardasil)

Standard Vaccination Interval

  • Second dose: 2 months after the first dose
  • 3rd time: 6 months after the 1st vaccination

If vaccination cannot be done at the standard interval

Administer the first and second doses with an interval of more than one month, and the second and third doses with an interval of more than three months.

(1) 9-valent vaccine (Gardasil 9) ... when receiving the first dose between the 6th grade of elementary school and up to 15 years old.

Standard Vaccination Interval

Second time: 6 months after the first time

If vaccination cannot be done at the standard interval

Administer the first and second doses with an interval of at least 5 months.

  • Note 1: If the interval between the first and second vaccinations is less than 5 months, a third vaccination is required.
  • Note 2: As mentioned above, in addition to the vaccination method that is completed with three doses, it is now possible to complete the vaccination with two doses.

(2) 9-valent vaccine (Gardasil 9) ... when receiving the first dose after turning 15 years old

Standard Vaccination Interval

  • Second dose: 2 months after the first dose
  • 3rd time: 6 months after the 1st vaccination

If vaccination cannot be done at the standard interval

Administer the first and second doses with an interval of more than one month, and the second and third doses with an interval of more than three months.

About the alternating administration of 2-valent/4-valent HPV vaccines and 9-valent HPV vaccine

  • In principle, it is required to complete vaccination with the same type of vaccine.
  • If you started vaccination with a 2-valent or 4-valent HPV vaccine and are completing vaccination with a 9-valent HPV vaccine, please consult with your doctor and the vaccine recipient before proceeding with the vaccination.
  • In the case of mixed vaccination, a total of 3 vaccinations will be administered regardless of the age of the vaccinated individual.

About the Pre-examination Questionnaire

You can use the current health questionnaire as is.

Notice of Catch-up Vaccination

Since the fiscal year 2013, a program called "Catch-up Vaccination" has been initiated by the national government starting from April 1, 2022, to allow those who missed vaccination opportunities during the period when recommendation notices were withheld to receive vaccinations at public expense.
In Inagi City, we will also conduct catch-up vaccinations as outlined below, so those who wish to be vaccinated are encouraged to consider this.

  • Eligible for vaccination: Girls born between April 2, 1997, and April 1, 2008
  • Vaccination Period (Note): From July 1, 2022, to March 31, 2025

Note: For those eligible for catch-up vaccinations who have received at least one dose between April 1, 2022, and March 31, 2025, the vaccination deadline for those who have not completed their vaccinations has been extended until the end of March 2026.

Please check the information regarding HPV vaccination from the national government below.

HPV vaccination is not mandatory.
In addition to checking the Ministry of Health, Labor and Welfare website, please consult with the medical institution administering the vaccine to fully understand the safety and effectiveness of the vaccine before getting vaccinated.

Vaccination Location

Some medical institutions may require reservations, so please check in advance.

Belongings

  • Maternal and Child Health Handbook
  • Pre-examination Questionnaire

Note: If you do not have a pre-examination form due to relocation, please contact the Health Center or each medical institution.

Post-Vaccination Precautions

  1. After vaccination, there may be fainting due to pain from the injection or psychogenic reactions. To prevent falls due to fainting, a Parent or Guardian or healthcare professional should accompany you by holding your arm during movement after the injection, and please sit in a place where you can rest your weight for about 30 minutes after vaccination.
  2. If you experience any abnormalities such as high fever or convulsions after vaccination, please seek a doctor's diagnosis promptly.
  3. Pay attention to your health for one week after vaccination. If you notice significant swelling or feel unwell after the vaccination, please consult a doctor. The vaccination for human papillomavirus infection is administered as an intramuscular injection, so you may experience muscle pain for about a week after the injection.
  4. Keep the vaccination site clean. Bathing is not a problem, but do not rub the vaccination site.

Description for receiving the Human Papillomavirus Vaccination

If you wish to receive the vaccination, please read and understand the "Explanation for Receiving the Human Papillomavirus Infection Vaccination" below, and consult with a doctor before getting vaccinated.

About Redemption Payments

As of April 1, 2022, individuals with a Certificate of Residence in Inagi City who received the human papillomavirus (HPV) vaccine at their own expense (voluntary) between April 1, 2014, and June 30, 2022, will be reimbursed for the vaccination costs if they submit the following documents.

Please print from below or come to the Inagi City Health Center. (Shipping by mail is not available.)

Note: The vaccination for the 9-valent vaccine is not eligible for reimbursement.

Required Documents

  1. Application Form for Reimbursement of Voluntary Vaccination for Human Papillomavirus Infection (Form No. 1)
  2. Maternal and Child Health Handbook, Vaccination certificate, or a copy of the health questionnaire with vaccination records that can be confirmed
  3. Application for Reimbursement for Voluntary Vaccination against Human Papillomavirus Infection (Form No. 4)
  4. Receipt (Original) (A document that shows the details of the vaccination. Please consult us if it is lost.)
  • Note: If there is no "2", please submit the certificate for the application for reimbursement of voluntary vaccination for human papillomavirus infection (Form No. 2).
  • Note: Please do not include anything in the "Date" at the top right and the "Document Number" and "Amount Due" in the center.
  • Note: Please ensure that the applicants for "1" and "3" are the same.

About the Health Damage Relief System

  • If health damage occurs due to adverse reactions caused by regular vaccinations, such as requiring treatment at a medical institution or hindering daily life, you can receive benefits based on the Vaccination Law.
  • Depending on the extent of health damage, there are categories for Medical Expenses, medical allowances, child-rearing pensions for disabled children, disability pensions, one-time death benefits, and Funeral Services, with amounts specified by law being provided.
  • However, if the health damage was caused by the vaccination or by another factor (such as an infection that occurred before or after the vaccination or other causes), the causal relationship will be discussed at a national review committee composed of experts in various fields such as vaccination, infectious disease medicine, and law. Benefits can be received if it is recognized as being caused by the vaccination.
  • If you need to apply for benefits, please contact the examining physician or the Health Division of Inagi City.

Note: For more details, please visit the Ministry of Health, Labor and Welfare website.

Regarding Vaccination When the Parent or Guardian is Not Accompanying

  • If you wish to receive the vaccination without the accompaniment of a Parent or Guardian, please be sure to bring the "Consent Form for Receiving the Human Papillomavirus Vaccination."
  • However, this is limited to those aged 13 and over as of the vaccination date.

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Inquiries about this page

Welfare Department Health Division, Inagi City
112-1 Momura, Inagi City, Tokyo 206-0804 (Inside Inagi City Health Center)
Phone number: 042-378-3421 Fax number: 042-377-4944
Contact the Welfare Department Health Division, Inagi City