(EN) Covid-19 Vaccination in Hanamaki

About Covid-19 Vaccination In Hanamaki

IMPORTANT
Everyone has been sent a Covid-19 Vaccination Notice (shown below), but NOT everyone is currently eligible to receive a vaccination yet. Vaccinations are being made available based on priority. DO NOT make or show up to a vaccination appointment without first reading the section titled Priority Groups, and understanding which priority group you belong to, and when that group is being vaccinated.

Starting the Process

Hanamaki has distributed envelopes titled 新型コロナウイルスワクチン接種のご案内 (Covid-19 Vaccination Notice), to all households throughout the city.

This Covid-19 Vaccination Notice envelope should contain the following items:
One (1) explanatory notice (新型コロナワクチン接種を受けるための接種券をお送りします) ※Information provided in this notice has been translated and posted throughout this guide
Two (2) Covid-19 Pre-Vaccination Exam Forms (新型コロナワクチン接種の予診票) ※A guide to filling out this form is provided towards the bottom of this page
One (1) Vaccination Voucher Sticker Sheet, containing the following: Two (2) vaccine voucher stickers (接種券, sometimes also referred to in Japanese as vaccine “coupons”) Two (2) “was examined but could not be vaccinated” stickers (診察したが接種はできない場合) A space to the right that says Certificate of Vaccination for COVID-19, which is where the physician will place proof of vaccination seal(s) after you have been vaccinated.   ※DO NOT peel off any stickers yourself. Medical personnel will handle the stickers when necessary. ※An English labeled example of this sheet is provided towards the bottom of this page

What you need to do after receiving this envelope if you want to be vaccinated:

• Determine what priority group you belong to, and when that group is eligible for vaccination
  (see below section titled Priority Groups)
   
• If your priority group is eligible for vaccination now:
  • Read and understand the Instructions for the Covid-19 Vaccination (EN)
  • Fill out the Covid-19 Pre-Vaccination Exam Form
    (see below section titled Guide to Filling Out the Covid-19 Pre-Vaccinaton Exam Form)
  • Make a vaccination appointment
    (see below section titled Making an Individual Appointment (or Making a Mass Vaccination Appointment if available) listed under whichever priority group you belong to)
• If your priority group is NOT eligible for vaccination now:
  • Wait for further information, and do not attempt to make an appointment yet
  • Keep the items enclosed in the Covid-19 Vaccination Notice envelope in a safe place for later use when your group becomes eligible

Priority Groups

The Covid-19 Vaccinaton Notice shown above has been sent to everyone throughout Hanamaki, however not everyone is eligible for immediate vaccination.

The following groups are currently being vaccinated, in this order:

1. Individuals Aged 65 and Over

When can this group get vaccinated?

This group is currently being accepted for vaccination appointments.

Methods of vaccination for this group

Hanamaki is currently providing this group with one method of vaccination, as follows:

• Individual Appointments (carried out at various medical institutions)

※Mass vaccination appointment creation for this group has ended. If you are in this group and did not get vaccinated at a mass vaccination, please make an individual appointment as outlined below.

Making an Individual Appointment

These individual appointment vaccinations are carried out at one of the medical institutions outlined below (and are not associated with mass vaccination events).

Start Dates
Appointment creation started as of: July 2, 2021 Vaccinations started as of: July 5, 2021

Individual Appointment Methods
Appointment Call Center (8: 30am - 5: 15pm, JP language only): 0120-383-225 (toll-free)   Online (24/7, JP language only): https://g032051.vc.liny.jp (or scan the Website QR Code below)   LINE App (24/7, JP language only): Scan the LINE QR Code below

What You Need to Bring to Your Appointment

Vaccination Voucher Sticker Sheet (DO NOT peel any stickers off yourself) Covid-19 Pre-Vaccination Exam Form (Two forms were provided in the envelope, but you need to fill in ONE of them, and bring it to your appointment. The second sheet should be completed in the future, and used for your second appointment.) Health insurance card (If you cannot provide a health insurance card, you must instead provide a form of identity verification (driver's license, Individual Number card, etc.) that matches the name, address, and date of birth at the bottom right of the Vaccination Voucher Sticker Sheet.) Medication Handbook (This is the little booklet that phamacists, etc., paste medication information into, after you fill a prescription from a doctor for example)

2. Individuals Aged Under 65, With Underlying Conditions

When can this group get vaccinated?

This group is currently being accepted for vaccination appointments.

※Individuals aged under 65 with underlying conditions are given priority over those without.
※Those who have had an underlying condition in the past, but do not currently have an underlying condition, are not included in this group.

Underlying conditions include:

1. Those with the following conditions, who are hospitalized or undergoing outpatient care
   1. Chronic respiratory illness
   2. Chronic heart disease (including hypertension)
   3. Chronic kidney disease
   4. Chronic liver disease (cirrhosis, etc.)
   5. Diabetes currently being treated via insulin / medication, or diabetes complicated by other illness
   6. Blood disease (excluding iron deficiency anemia)
   7. Conditions causing reduced immune function (including malignant tumors under treatment)
   8. Currently undergoing treatment that reduces immune function, such as steroids, etc.
   9. Neurological / neuromuscular condition associated with immune abnormality
   10. Condition in which physical function is impaired due to neurological / neuromuscular condition (respiratory disorders, etc.)
   11. Chromosomal abnormality
   12. Those with both severe physical and mental disability (both, not one or the other)
   13. Sleep apnea
   14. Serious mental illness (if considered "severe and continuous," those hospitalized for treatment of mental illness, those holding a Mental Illness Health and Welfare Certificate, or those undergoing mental outpatient medical care), or those with intellectual disability (and holding a Rehabilitation Certificate)
2. Those who meet the criteria for obesity (BMI 30 or higher)
   ※BMI 30 or Higher Reference: height of 170cm with a weight of ~87kg or higher, height of 160cm with a weight of ~77kg or higher

Methods of vaccination for this group

Hanamaki is currently providing this group with one method of vaccination, as follows:

• Individual Appointments (carried out at various medical institutions)

These individual appointment vaccinations are carried out at one of the medical institutions outlined below (and are not associated with mass vaccination events).

Start Dates
Appointment creation started as of: July 2, 2021 Vaccinations started as of: July 5, 2021

Individual Appointment Methods
Appointment Call Center (8: 30am - 5: 15pm, JP language only): 0120-383-225 (toll-free)   Online (24/7, JP language only): https://g032051.vc.liny.jp (or scan the Website QR Code below)   LINE App (24/7, JP language only): Scan the LINE QR Code below

What You Need to Bring to Your Appointment

Vaccination Voucher Sticker Sheet (DO NOT peel any stickers off yourself) Covid-19 Pre-Vaccination Exam Form (Two forms were provided in the envelope, but you need to fill in ONE of them, and bring it to your appointment. The second sheet should be completed in the future, and used for your second appointment.) Health insurance card (If you cannot provide a health insurance card, you must instead provide a form of identity verification (driver's license, Individual Number card, etc.) that matches the name, address, and date of birth at the bottom right of the Vaccination Voucher Sticker Sheet.) Medication Handbook (This is the little booklet that phamacists, etc., paste medication information into, after you fill a prescription from a doctor for example)

Children Aged 12 and Over, With Underlying Conditions

• Children must be aged 12 or older to receive this vaccine.
• If the child has an underlying condition, they are included in this priority group.
• If a child's birthday in which they will turn 12 years old takes place this year, the child cannot be vaccinated until after that date.

3. Individuals Aged Under 65, Without Underlying Conditions

WARNING
If you are in this group, you CANNOT yet receive a vaccination.

When can this group get vaccinated?

This group is not currently being accepted for vaccination appointments.

• Information as to when this group will be able to get vaccinated will be provided as soon as possible.
• If you are in this group, please keep the items you received in your Covid-19 Vaccination Notice envelope in a safe place for use later when vaccinaton begins.

Planned methods of vaccination for this group

Once vaccination for this group begins, Hanamaki plans to provide the group with two methods of vaccination, as follows:

• Mass Vaccination (carried out at specific locations on specific days)
• Individual Appointments (carried out at various medical institutions)

QR Codes for Making Appointments

Individual Vaccination Medical Institutions

WARNING
You cannot call these institutions, or show up directly to one of them, to make an appointment. Appointments must be made through one of the available methods listed for your Priority Group.

Medical institutions handling individual vaccination appointments are as follows:

Japanese	English
イーハトーブ病院	Ihatov Hospital
ささきクリニック	Sasaki Clinic
はじめこどもクリニック	Hajime Children's Clinic
花巻市石鳥谷医療センター	Ishidoriya Medical Center
さとう消化器科内科クリニック	Sato Gastroenterology & Internal Medicine Clinic
公益財団法人総合花巻病院	Hanamaki General Hospital
石鳥谷駅前クリニック	Ishidoriya Stationfront Clinic
さとう内科クリニック	Sato Internal Medicine Clinic
花巻中央眼科	Hanamaki Central Ophthalmology
大迫地域診療センター	Ohasama Regional Medical Center
循環器科・内科 大平医院	Ohira Cardiology & Internal Medicine Clinic
藤巻胃腸科内科クリニック	Fujimaki Gastroenterology & Internal Medicine Clinic
小原クリニック	Ohara Clinic
すがさわ外科内科クリニック	Sugasawa Surgery & Internal Medicine Clinic
まきた内科ハートクリニック	Makita Internal Medicine Clinic
おばら内科・消化器科クリニック	Obara Internal Medicine & Gastroenterology Clinic
須田内科医院	Suda Internal Medicine Clinic
三浦医院	Miura Clinic
織笠内科医院	Orikasa Internal Medicine Clinic
高木丘クリニック	Takakioka Clinic
ゆうきクリニック	Yuki Clinic
菊池内科クリニック	Kikuchi Internal Medicine Clinic
照井内科消化器科医院	Terui Internal Medicine & Gastroenterology Clinic
ゆかわ脳外科	Yukawa Neurosurgery
熊谷内科胃腸科医院	Kumagai Internal Medicine & Gastroentereology Clinic
とみつか脳神経外科クリニック	Tomitsuka Neurosurgery Clinic
湯本診療所	Yumoto Clinic
恵ライフクリニック	Megumi Life Clinic
中館内科クリニック	Nakadate Internal Medicine Clinic
斎藤整形外科クリニック	Saito Orthopedic Clinic
西大通り耳鼻咽喉科医院	Nishi Odori ENT Clinic
※ Additional medical institutions will be added to this list as they become available

Vaccine Manufacturer and Administration

The Covid-19 vaccine provided by Hanamaki is manufactured by Pfizer. This vaccine is intended for people 12 years of age and older, and is administered 2 times (usually 3 weeks apart) via intramuscular injection. The vaccine is covered by public funding, and is available free of charge to those who wish to receive it. For more information on the Pfizer vaccine, see the Instructions for the Covid-19 Vaccination (EN) (provided by the Ministry of Health, Labor, and Welfare).

What is Written on the Vaccinaton Voucher Sticker Sheet

• Vaccination Voucher Sticker Sheet (EN Explanation) （PDF 2.4MB）
  If you are having trouble seeing the English labels in the image above, download this PDF (or open it in a separate tab) to see the full resolution file

Guide to Filling Out the Covid-19 Pre-Vaccination Exam Form

• Covid-19 Pre-Vaccination Exam Form Reference Sheet (EN) （PDF 597.4KB）
  (Download this PDF reference sheet, or open it in a separate tab, and follow along with the directions below)

Directions

• Download the above PDF reference sheet, or open it in a separate tab
• Starting with “A” in the top left corner of the page, follow along with the directions posted below.
• Note that these directions were written using the forms distributed by Hanamaki, though other municipalities may be similar.

WARNING

Although there are translated copies (that are fully written only in English and other languages) of the Covid-19 Pre-Vaccination Exam Form (新型コロナワクチン接種の予診票) provided by the Ministry of Health, Labor and Welfare, as well as various other groups online, they are for REFERENCE PURPOSES ONLY. English language forms are not accepted by vaccinating physicians. You MUST complete the official Japanese language version of the Covid-19 Pre-Vaccination Exam Form that was provided to you by mail.

A. Address Listed on Residence Card

1. Prefecture name
   ※The example shows: 岩手 (Iwate)
2. Circle the appropriate ending character for your prefecture's name
   ・都 (to)
   ・道 (dou)
   ・府 (fu)
   ・県 (ken)
   ※The example shows 県 circled, because Iwate Prefecture would be 岩手県 (Iwate-ken)
3. City, district, town, or village name
   ※The example shows: 花巻 (Hanamaki)
4. Circle the appropriate ending character for your city, district, town, or village name
   ・市 (shi)
   ・区 (ku)
   ・町 (machi / cho)
   ・村 (mura)
   ※The example shows 市 circled, because Hanamaki City would be 花巻市 (Hanamaki-shi)
5. Current address
   ・If you’re unsure of the written Japanese, use your residence card or other Japanese identification as reference. It should also be printed on a paper that came inside your envelope of course.
   ・Be careful not to include the prefecture and city, as you just did that in the above steps (so basically you just want whatever is remaining after the city if you're looking at your residence card, for example).

B. Name

1. Last name in Katakana
2. First (and middle if applicable) name in Katakana
3. Last name as it appears on your Residence Card
4. First (and middle if applicable) name as it appears on your Residence Card

C. Phone Number

Write your phone number in the space provided

D. Date of Birth & Age

1. Year
2. Month
3. Day
4. Current age

E. Gender

Check the box next to the appropriate gender
・男 (male)
・女 (female)

F. Temperature Before Examination

1. Number before decimal
2. Number after decimal

G. Exam Questions

DIRECTIONS

In this section, you need to check a box for each question (either はい for yes, or いいえ for no, located in the column to the right of the questions column). Some questions may also require you to write additional information or check additional boxes within the question box itself. In those cases, make sure to provide all necessary informaton / check applicable boxes in the question box, and then also check a yes or no box in the column to the right.

1. Is this your first time receiving a Covid-19 vaccination?
   If this is NOT your first vaccination, write the date(s) of the 1st and 2nd vaccination (in mm/dd format, see reference sheet for where to write each part).
2. Is the city/town/village you currently reside the same as the city/town/village written on your vaccination voucher?
3. Have you read the Instructions for the Covid-19 Vaccination (EN), and understand the efficacy and side effects of the vaccine?
4. Do you fall into one of the below-listed target groups that have a higher vaccination priority?
   ・医療従事者等 (medical personnel, etc.)
   ・65歳以上 (65 years or older)
   ・60~64歳 (60 - 64 years old)
   ・高齢者施設等の従事者 (nursing home personnel, etc.)
   ・基礎疾患を有する（病名： ）(have an underlying condition (condition name: ))
      → Write the name of the underlying condition in parentheses if applicable
5. Do you currently have any of the following conditions, and are undergoing treatment (taking medication, etc.) for them?
   病名 (Conditions):
   ・心臓病 (heart disease)
   ・腎臓病 (kidney disease)
   ・肝臓病 (liver disease)
   ・血液疾患 (blood disorder)
   ・血が止まりにくい病気 (condition w/ difficulty stopping bleeding)
   ・免疫不全 (immunodeficiency)
   ・その他 (other: )
      → Write name of other condition in the parentheses if applicable
   
   治療内容 (Treatment):
   ・血をサラサラにする薬 (anticoagulant / antiplatelet / blood thinner: )
      → Write name of medication in the parentheses if applicable
   ・その他 (other: )
      → Write name of other treatment in the parentheses if applicable
6. Within the last 1 month, have you had a fever or felt sick?
   → If you did feel sick, write the name of the condition in the parentheses
7. Are any parts of your body unwell today?
   → If so, write the symptom(s) in the parentheses
8. Have you ever had a convulsion or seizure?
9. Have you ever had a severe allergic reaction (anaphylaxis, etc.) to a medication or food?
   → If so, write the medication or food that caused the reaction in the parentheses
10. Have you ever felt sick after receiving a vaccination?
    → If so, write the type of vaccination in the first parentheses, and the symptoms you experienced in the second parentheses
11. Is there any possibility that you are currently pregnant (period has come late, etc.)? Are you currently breastfeeding?
    → Check yes if either answer is yes
12. Within the last 2 weeks, have you received any kind of vaccine?
    → If so, write the type of vaccination in the first parentheses, and the date you received it in the second parentheses
13. Do you have any questions regarding today's vaccine?

Section marked "For physician use only"

The next section, after step G, is for physician use only. You can skip this part and move on to step H, but here is what it says for those who want to know: As a result of the above medical interview and examination, today's vaccination has been determined to be (▢Possible  ▢Not Possible). I (the physician) have explained the efficacy and side effects of the vaccine, as well as about the Relief System for Injuries to Health due to Vaccination, to the patient. ※To the right of this, there is also a box where the physician provides their signature or seal.

H. Covid-19 Vaccination Request Statement

1. After consulting with and being examined by a physician, as well as understanding the efficacy and side effects of this vaccine, do you wish to be vaccinated?
   → Check one of the following boxes:
   ・接種を希望します (YES, I wish to be vaccinated)
   ・接種を希望しません (NO, I do not wish to be vaccinated)
2. This Covid-19 Pre-Vaccination Exam Form is intended to ensure safety during the vaccination process. I understand this and hereby consent to this Covid-19 Pre-Vaccination Exam Form being submitted to the municipal government, the All-Japan Federation of National Health Insurance Organizations, and the National Health Insurance Organization.
   → Write the date (yyyy to the left of 年, mm to the left of 月, dd to the left of 日)
   → Write your signature on the provided line
   
   (※If the person to be vaccinated is unable to provide their own signature, a proxy may provide their own (the proxy's) signature and relationship to the person to be vaccinated.)
   (※If the person to be vaccinated is under 16 years of age, their guardian must provide a signature instead. For adult wards, the person to be vaccinated, or their guardian, may provide a signature.)

Section marked "For physician use only"
The next section, after step H, is for physician use only. You can skip this part, meaning you are now finished filling out this form, but here is what it says for those who want to know: Vaccine name (ワクチン名) & lot number (ロット番号) Vaccination amount in ml (接種量) Vaccination location (実施場所) & physician's name (医師名) Medical institution code (医療機関等コード) Vaccination date (接種年月日)

Disclaimer

• The above provided English language information includes translations of Japanese texts, for information purposes only.
• In the event of any discrepancy, the original Japanese text will prevail.

For Other Information and Updates in English

To see more Hanamaki-related information in English, as well as other announcements, local photos, event information and more, follow the Hanamaki Office of International Relations Facebook page at:

https://www.facebook.com/HanamakiExchange