Flu and Shingles Shots in Tokyo (2026–27): Who Gets a Ward Subsidy and How to Book

This page is general information from official ward pages. It is not medical advice. Whether you should have a vaccine, and which one, is for you and your doctor. For your own case, ask the vaccination section of the ward where you are registered.

If you live in Tokyo and are 65 or over, or have a child, your ward pays part of the cost of a flu shot each winter. People who turn 65, 70, 75 and so on this year can also get the shingles vaccine with a ward subsidy, once in their life. This guide compares five of Tokyo’s 23 wards with the most people: Setagaya, Nerima, Ota, Edogawa and Adachi. It shows who qualifies, what you pay, the dates, and how to book.

In short

Flu shots for people 65 and over cost ¥2,500 in Setagaya, Nerima and Ota, ¥2,500 or free in Edogawa (free at 75 and over), and nothing in Adachi. The last day is Sunday, January 31, 2027 in all five wards (sections 2 and 3).
Children from 6 months to the last year of high school get ¥2,000 off each flu shot (¥3,000 in Adachi). Most wards only pay at clinics inside the ward (section 4).
The shingles vaccine is subsidized for people turning 65, 70, 75, 80, 85, 90, 95 or 100 in the year to March 31, 2027. For the two-dose vaccine, have the first dose by January 31, 2027 (section 5).
You need the ward’s pre-filled form (予診票, yoshinhyo). You book with the clinic yourself; the ward does not book for you (section 7).

Checked with official pages on October 12, 2026.

Note

These subsidies are for people who are registered as residents (住民登録, jumin toroku) of the ward on the day of the shot. Foreign nationals living in Japan for more than three months with a status of residence are in the resident register; tourists and short-term visitors are not, according to the Ministry of Internal Affairs and Communications (English). The ward pages do not set any other condition about nationality. Japan’s fiscal year (年度, nendo) runs from April 1 to March 31, so “fiscal 2026” means April 1, 2026 to March 31, 2027. Each of Tokyo’s 23 wards sets its own rules. If you live in a ward that is not on this page, check that ward’s website.

1. Which shots does my ward help pay for?

Each ward

There are three kinds of subsidy on this page. They have different rules, so find the one that fits you first.

Flu shot for older adults. This is a routine vaccination (定期接種, teiki sesshu) under Japan’s vaccination law. The ward mails you the form, and you pay a fixed amount at the clinic.
Flu shot for children. This is a voluntary vaccination (任意接種, nin’i sesshu). The ward takes a set amount off the clinic’s price, and you pay the rest.
Shingles vaccine. It has been a routine vaccination since fiscal 2025 for certain ages. Four of the five wards also help people aged 50 to 64 who are not in the routine group.

The wards say these shots are your choice, not a duty. You only get the subsidy if you use the ward’s form at a clinic that the ward accepts, within the dates set for the season.

2. Who can get a subsidized flu shot at 65 and over?

All five wards

You qualify if you are registered in the ward and are 65 or over on the day of the shot, or 60 to 64 with a Grade 1-level disability of the heart, kidneys or breathing, or of the immune system caused by HIV. Grade 1 means the level on the physical disability certificate (身体障害者手帳, shintai shogaisha techo). The subsidy covers one shot a season. A second shot, or a shot outside the dates, is at your own cost.

If you are 64 now, you can use the form from the day before your 65th birthday (Setagaya, Nerima and Ota say this). A shot before that day is at full price. People who receive public assistance (生活保護, seikatsu hogo) or the support benefit for Japanese left behind in China pay nothing in all five wards.

Ward	You pay	Dates (2026–27)	Other wards OK
Setagaya	¥2,500	Sep 16 – Jan 31	From Oct 1
Nerima	¥2,500	Oct 1 – Jan 31	Yes
Ota	¥2,500	Sep 24 – Jan 31	From Oct 1
Edogawa	¥2,500; free at 75+	Sep 24 – Jan 31	From Oct 1
Adachi	Free	Oct 1 – Jan 31	Yes

“Other wards” means designated clinics in Tokyo’s other 22 special wards. Setagaya also accepts clinics in Komae, Chofu and Mitaka from October 1, and Nerima accepts Nishitokyo and Musashino. A clinic outside your ward may not take your ward’s form, so ask when you book. Setagaya, Ota and Edogawa started early this season because flu arrived early. In those wards, shots before October 1 count only at clinics inside the ward.

3. Flu shots at 65 and over, ward by ward

3.1 Setagaya Ward: ¥2,500 from September 16

Setagaya Ward

Setagaya Ward charges ¥2,500, from Wednesday, September 16, 2026 to Sunday, January 31, 2027. A shot on September 15 or earlier is at full price. The forms come in a light-blue envelope together with the COVID-19 vaccine form. Some printed papers still say October 1, but the shot counts from September 16 at Setagaya clinics.

The ward mailed forms on September 16 to people who moved in by August 19. People who moved in from August 20 to September 30 get them in mid-October. If you moved in on October 1 or later, or you are 60 to 64 and qualify, you must ask for a form, online (LoGo form) or by phone. Bring the form and an ID. The ward’s call center does not take bookings. The ward also says the high-dose flu vaccine for people 75 and over was not added to the routine program for fiscal 2026. Flu shots for older adults (Setagaya Ward, Japanese)

Setagaya Vaccination Call Center: 03-5432-2437, weekdays 8:30 to 17:15.

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3.2 Nerima Ward: ¥2,500 from October 1

Nerima Ward

Nerima Ward charges ¥2,500, from Thursday, October 1, 2026 to Sunday, January 31, 2027. Without the ward’s form, there is no subsidy and no refund later. A shot in September is at full price. Forms were mailed in late September.

If the form had not come by October 1, or you moved house or into Nerima on August 21 or later, ask for one with the ward’s online form or by phone. Fill in the form before the day, with a pen that cannot be erased. Sign the box called “インフルエンザ予防接種希望書” (request for flu vaccination). Bring the form and an ID that shows your name, address and date of birth, such as a My Number Card. Routine flu shots for older adults (Nerima Ward, Japanese)

Nerima Health Prevention Section, Vaccination Unit: 03-5984-2484.

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3.3 Ota Ward: ¥2,500 from September 24

Ota Ward

Ota Ward charges ¥2,500, from Thursday, September 24, 2026 to Sunday, January 31, 2027. The form and leaflet still say October 1, but the form works from September 24. Until September 30, only Ota clinics count. Forms were mailed on September 17.

If you moved into Ota in mid-August or later, or lost the form, apply online. You need to attach a copy of your ID. After the ward’s “application complete” email, the form can take 7 to 10 days to arrive. If you are in a hurry, call the Infectious Disease Control Section. On the day, bring the filled-in form and an ID with your name, such as a My Number Card or driver’s license. Routine flu shots for older adults (Ota Ward, Japanese)

Ota Infectious Disease Control Section: 03-4446-2643.

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3.4 Edogawa Ward: free at 75 and over, from September 24

Edogawa Ward

Edogawa Ward charges ¥2,500 at 65 to 74. It is free if you will be 75 or over on March 31, 2027 (born on or before April 1, 1952). People 60 to 64 who qualify also pay ¥2,500 in principle. The dates are Thursday, September 24, 2026 to Sunday, January 31, 2027, and only Edogawa clinics count until September 30.

Forms were mailed from September 18. If you want the shot before yours arrives, go to your nearest health support center and bring your ID. If you lost the form, apply online, by phone or at a health support center. If you moved into Edogawa on September 1 or later, call the Health Prevention Section. Call the clinic before you go, and bring the form. Flu shots for older adults, fiscal 2026 (Edogawa Ward, Japanese)

Edogawa Health Prevention Section, General Affairs Unit: 03-5661-5209.

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3.5 Adachi Ward: free, from October 1

Adachi Ward

In Adachi Ward, one flu shot is free from Thursday, October 1, 2026 to Sunday, January 31, 2027. A shot in September does not count, even at a clinic in another ward. The ward decided with the local medical association not to start early, because vaccine supplies and form delivery would not be ready in time. You can have the routine shot at designated clinics in any of the 23 wards.

Forms were mailed on September 11. If you moved in on July 31 or later, or lost the form, you can get one in three ways:

At the counter of the Health Prevention Section (保健予防課, 2nd floor of the ward office South Building) or a health center. You get the form on the spot.
By phone at Call Adachi (お問い合わせコールあだち), 03-3880-0039, 8:00 to 20:00 every day except January 1 to 3. The form arrives by mail in about 10 days.
Online, also about 10 days by mail. Online requests close around January 19, 2027.

Adachi also makes the shot free for people who turn 65 between October 3, 2026 and January 1, 2027 and want it before their birthday. This is a voluntary shot, and only Adachi clinics give it. The ward’s clinic list (PDF) shows which clinics said they can respond in foreign languages, whether they take non-regular patients, and whether you need to book. The ward says the foreign-language version of its notice will be posted around the end of October 2026. Flu shots for older adults (Adachi Ward, Japanese)

Adachi Health Prevention Section, Vaccination Unit: 03-3880-5094.

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4. How much off is a child’s flu shot?

All five wards

All five wards pay part of a flu shot for children from 6 months old to the last year of high school (高校3年生相当). The ward takes its amount off the clinic’s price, and you pay the rest at the clinic. Clinics set their own prices, so the amount you pay differs. “High school year 3 level” goes by date of birth, not by whether your child is at school. In fiscal 2026 that means born on or after April 2, 2008.

There are two kinds of vaccine. The injected (inactivated) vaccine is two doses up to age 12 and one dose from age 13. The nasal spray vaccine (a live vaccine) is one dose, from age 2. The subsidy covers only one of the two kinds.

Ward	Off per shot	Off nasal spray	Dates (2026–27)
Setagaya	¥2,000	¥4,000	Sep 16 – Jan 31
Nerima	¥2,000	¥4,000	Oct 1 – Jan 31
Ota	¥2,000	¥4,000	Sep 24 – Jan 31
Edogawa	¥2,000	¥4,000	Sep 24 – Jan 31
Adachi	¥3,000	¥6,000	Oct 1 – Jan 31

Use a clinic on your own ward’s list: Setagaya, Ota, Edogawa and Adachi pay only for shots at clinics inside the ward, and Nerima at its partner clinics. How you get the discount also differs by ward:

Setagaya: the voucher is kept at Setagaya’s designated clinics, and you do not apply to the ward. Show something with your child’s address and date of birth, such as the Maternal and Child Health Handbook (母子健康手帳, boshi kenko techo), a My Number Card or the child medical certificate. Bring the handbook in any case, so the clinic can check past shots. Setagaya Ward (Japanese)
Nerima: you need the form the ward mailed in late September. Bring it with the handbook. If it had not come by October 1, or you moved on August 6 or later, ask for one online. Children in households on public assistance pay nothing. The nasal spray may run out before January 31. Nerima Ward (Japanese)
Ota: fill in the combined form and application kept at Ota partner clinics. Bring the handbook and something with your child’s name, date of birth and address, such as a health insurance card or medical certificate. Shots outside Ota are not covered. Ota Ward (Japanese)
Edogawa: forms were mailed from September 18 to children born April 2, 2008 to July 1, 2026. Only shots at Edogawa clinics are covered. The nasal spray is not available from January 23 to 31. Edogawa Ward (Japanese)
Adachi: forms and the clinic list were mailed by the end of September. Adachi does not start early: shots in September are not covered. A new form is available at the counter, by phone or online. Adachi Ward (Japanese)

A parent or guardian should come with a child under 13. Setagaya and Edogawa say a child aged 13 to 15 can go alone if a parent signs the form. From 16, the child signs the form themselves (Edogawa and Adachi).

5. Who can get the shingles vaccine with a ward subsidy?

Official rule (Japan) and each ward

In fiscal 2026, the routine shingles vaccination is for people who turn 65, 70, 75, 80, 85, 90, 95 or 100 between April 1, 2026 and March 31, 2027, and who are registered in the ward. It is a one-time chance: if you miss it this year, it does not come back in five years. People aged 60 to 64 with a Grade 1-level immune disability caused by HIV also qualify. The 70-to-100 groups are a transition measure from fiscal 2025 to fiscal 2029.

Age in fiscal 2026	Born between
65	Apr 2, 1961 – Apr 1, 1962
70	Apr 2, 1956 – Apr 1, 1957
75	Apr 2, 1951 – Apr 1, 1952
80	Apr 2, 1946 – Apr 1, 1947
85	Apr 2, 1941 – Apr 1, 1942
90	Apr 2, 1936 – Apr 1, 1937
95	Apr 2, 1931 – Apr 1, 1932
100	Apr 2, 1926 – Apr 1, 1927

These dates come from the Nerima and Edogawa charts. Setagaya says you do not have to wait for your birthday: you can have it from April 1. If you have had a shingles vaccine before, at your own cost or with a subsidy, you are usually not in the routine group. The exception: if you had only the first dose of the two-dose vaccine, Setagaya, Edogawa and Adachi let you have the second dose as a routine shot. Shingles vaccine (Ministry of Health, Labour and Welfare, Japanese)

6. What does the shingles vaccine cost in each ward?

Each ward

There are two vaccines, and you choose one. The live vaccine (生ワクチン, nama wakuchin; brand Biken) is one shot under the skin. The recombinant vaccine (組換えワクチン; brand Shingrix, シングリックス) is two shots into the muscle, usually two months apart. If more than two months pass, have the second dose within six months of the first.

The routine period is April 1, 2026 to Wednesday, March 31, 2027. For the two-dose vaccine, Setagaya, Edogawa and Adachi say to have the first dose by January 31, 2027, so the second fits in time. In Edogawa, a second dose on or after April 1, 2027 is at full price.

Ward	Live (1 dose)	Recombinant (per dose, 2 doses)	Age 50–64 help
Setagaya	¥4,000	¥10,000	Yes
Nerima	¥4,000	¥11,000	Ended March 2026
Ota	¥4,000	¥11,000	Yes
Edogawa	¥4,000	¥11,000	Yes
Adachi	Free	Free	Yes

For both doses of the recombinant vaccine, you pay ¥20,000 in Setagaya, ¥22,000 in Nerima, Ota and Edogawa, and nothing in Adachi (our sum of the per-dose amounts). People on public assistance or the support benefit for Japanese left behind in China pay nothing in Setagaya, Nerima, Ota and Edogawa. In all five wards, you can have the routine shot at your ward’s clinics or at designated clinics in the other 22 wards; Nerima also allows Nishitokyo City. Check with the clinic that it takes your ward’s form.

The forms for fiscal 2026 were mailed in spring 2026. If you moved in or lost yours, ask the ward for a new one:

Setagaya: online (LoGo form) or the call center, 03-5432-2437. People 60 to 64 who qualify must apply. If you go into hospital or a care home, apply two weeks before the shot to use a non-designated clinic. Setagaya Ward (Japanese)
Nerima: online form. You cannot have the routine shot without the form. If you move within Nerima, ask for a form with your new address. From the day you move out of Nerima, the shot is at full price. Nerima Ward (Japanese)
Ota: online (attach your ID; the form comes 7 to 10 days after the completion email), or call 03-4446-2643 if you are in a hurry. Ota does not advise on which vaccine to choose; ask your doctor. Ota Ward (Japanese)
Edogawa: online or by phone, 03-5661-5209. If you are on public assistance and your form does not show ¥0, call the same number. Edogawa Ward (Japanese)
Adachi: if you moved in on January 7, 2026 or later, apply at the counter (same day) or by phone at Call Adachi, 03-3880-0039 (1 week to 10 days by mail). Adachi does not take online applications for the routine shingles form. Adachi Ward (Japanese)

6.1 I am 50 to 64. Can I get help?

Each ward

Four of the five wards have their own subsidy, until March 31, 2027. These are voluntary shots, and most of them only count at clinics inside the ward.

Setagaya: for people 50 and over who are not in the routine group, and for people 18 to 49 at high risk (for example, weakened immunity from illness or treatment, or a doctor says the shot is needed). The ward pays ¥4,000 for the live vaccine and ¥11,000 per dose for the recombinant one. Under 50, only the recombinant vaccine. The voucher is at Setagaya’s designated clinics; you do not apply to the ward.
Ota: for people 50 and over who are not in the routine group. Same amounts as Setagaya, up to two recombinant doses. The form is at Ota partner clinics, and only shots there count.
Edogawa: for people 50 to 64 (born on or after April 2, 1962). The ward pays enough that you pay ¥4,000 for the live vaccine or ¥11,000 per recombinant dose. Use the form at Edogawa’s designated clinics; no application to the ward.
Adachi: for people 50 to 64. The ward pays ¥5,000 for the live vaccine or ¥10,000 per recombinant dose, and you pay the rest. You must get the form from the ward before the shot; you cannot apply afterwards. Only Adachi clinics count.
Nerima: the subsidy for 50 to 64 ended on March 31, 2026.

Adachi says you can get a shingles subsidy only once in your life, routine or voluntary. If you finish the voluntary shot in your 50s, you cannot have the routine one at 65.

7. How do I book and get the shot?

Depends on the clinic

Find your form. The ward mails it to the address on your resident record. For a child’s flu shot in Setagaya and Ota, the form is at the clinic instead.
Choose a clinic on your ward’s list. The list comes with the form and is on the ward’s page. For a clinic in another ward, ask if it takes your ward’s form.
Call the clinic to book. Clinics differ on start dates, days, whether you need to book and whether they have the vaccine in stock. The ward call centers do not take bookings.
Fill in the form before the day. The doctor uses it to decide if you can have the shot that day. Use a pen that cannot be erased, and sign where the form asks.
Bring the form and an ID. The wards give a My Number Card or driver’s license as examples. For children, bring the Maternal and Child Health Handbook too.
Pay your share at the clinic. A shot without the form is usually at full price. Nerima says it does not refund the cost later.

The forms are in Japanese. Adachi plans a foreign-language version of its flu notice around the end of October 2026. If you do not read Japanese, ask someone who does to help you fill in the form, or ask the clinic when you book.

What to say

区の予診票でインフルエンザの予防接種を受けたいです。予約は必要ですか。
(Ku no yoshinhyo de infuruenza no yobo sesshu o uketai desu. Yoyaku wa hitsuyo desu ka.)
“I’d like a flu shot with the ward’s form. Do I need to book?”

7.1 Can I ask in English?

Setagaya and Adachi

Setagaya says its Vaccination Call Center (03-5432-2437, weekdays 8:30 to 17:15) offers phone interpretation in 22 languages, including English, through a three-way call with an interpreting company. Adachi’s clinic list shows which clinics answered that they handle foreign languages. The Nerima, Ota and Edogawa pages do not say whether help is available in English.

8. Talk to a doctor before you decide

Official rule (Japan)

The wards and the Ministry of Health, Labour and Welfare say the two shingles vaccines differ in the number of doses, how they are given, how well and how long they work, and side effects. They ask you to learn the differences and choose with a doctor. The live vaccine cannot be given to people with weakened immunity from illness or treatment, or to pregnant women.

For flu shots, the wards say to talk to your doctor first if you have a long-term illness, felt unwell after an earlier vaccine, or have allergies. On the day, if the doctor decides you should not have the shot, you cannot have it. Adachi says a flu shot and a COVID-19 shot on the same day are possible only when a doctor finds it especially necessary.

Common questions

I had a flu shot in September. Is it covered?

Only in some wards. Setagaya covers shots from September 16, and Ota and Edogawa from September 24, at clinics inside the ward. Nerima and Adachi start on October 1, so a September shot is at full price there.

I have had shingles or chickenpox before. Can I still get the vaccine?

Yes. Setagaya says people who have had shingles can still use the routine shot and the subsidy. Ask the clinic whether you can have it now.

I paid for the first dose of Shingrix myself. Is the second dose covered?

In Setagaya, Edogawa and Adachi, yes, if you are in the routine group in fiscal 2026. The second dose then counts as a routine shot.

I am moving out of my ward. Can I still use the form?

No. Nerima says you are no longer registered from the day you move out, not the day you file the notice, and the shot is then at full price. Ota says its form does not work after you move out. Register at your new address and ask the new ward or city.

I am in hospital and cannot go to a designated clinic.

Setagaya, Nerima, Ota and Edogawa have a request form (予防接種依頼書) for this case. Apply to the ward before the shot; Setagaya and Nerima ask for at least two weeks.

Next steps

Sources (checked October 2026)

7 pages we checked

Prices, dates and rules can change. All official pages above are in Japanese except the Ministry of Internal Affairs and Communications page.

1. Which shots does my ward help pay for?

2. Who can get a subsidized flu shot at 65 and over?

3. Flu shots at 65 and over, ward by ward

3.1 Setagaya Ward: ¥2,500 from September 16

3.2 Nerima Ward: ¥2,500 from October 1

3.3 Ota Ward: ¥2,500 from September 24

3.4 Edogawa Ward: free at 75 and over, from September 24

3.5 Adachi Ward: free, from October 1

4. How much off is a child’s flu shot?

5. Who can get the shingles vaccine with a ward subsidy?

6. What does the shingles vaccine cost in each ward?

6.1 I am 50 to 64. Can I get help?

7. How do I book and get the shot?

7.1 Can I ask in English?

8. Talk to a doctor before you decide

Common questions

Sources (checked October 2026)

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