The influenza vaccine is not covered by public health insurance (100% self-pay), so the fee varies depending on the medical institution, vaccine type, and local subsidy programs. As of 2025, the standard price range for adults is ¥3,500 to ¥5,000 per dose. While children are recommended to receive two doses (effectively double the cost), numerous cases show that local government subsidies can reduce the cost by nearly half.
(Reference: Based on data from the Ministry of Health, Labour and Welfare, local governments, and medical institutions. Prices are inclusive of tax, estimated, and subject to change. Prior booking and confirmation are advised.)
2025 Standard Fee Table (Without Subsidy)
| Target/Type | Estimated Fee (Per Dose) | Notes |
| Adults (Ages 13+) – Standard 4-Valent Inactivated | ¥3,500 – ¥4,500 | Most common. Clinic average is ¥4,000. |
| Children (6 months – 12 years) – Standard 4-Valent | ¥3,000 – ¥4,000 | 2 doses recommended → Total ¥6,000 – ¥8,000. |
| High-Dose Vaccine for Elderly (Fluad®) | ¥8,500 – ¥10,000 | Exclusively for ages 65+. 4x antigen for higher efficacy. |
| Recombinant Vaccine (Egg Allergy Compatible) | ¥9,000 – ¥13,000 | Ages 18+. New introduction and high cost. |
| Intradermal Injection (Fine Needle, Less Pain) | ¥4,000 – ¥5,000 | Ages 1+. Similar price to the standard vaccine. |
| Nasal Spray Live Vaccine (FluMist®) | ¥4,000 – ¥6,000 | Ages 2–18. No injection needed, 1 dose is sufficient (Subsidies available in 2025). |
Fees Reduced by Subsidy Programs! (2025 Main Examples)
| Target Group | Subsidy Amount / Actual Burden | Applicable Regions/Conditions |
| Ages 65+ (Routine Vaccination) | Free – ¥2,000 (Publicly subsidized) | Municipalities nationwide. Self-pay is typically ¥1,000 – ¥3,000. |
| Children (6 months – 12 years) | Subsidy of ¥1,000 – ¥2,000 per dose → Actual burden ¥1,000 – ¥3,000/dose | Hachioji City: ¥2,000 subsidy (up to 2 doses). Similar systems exist in many local governments nationwide. |
| General Public (Health Insurance Union Member) | ¥1,000 – ¥2,000 subsidy | Tokyo Food Sales National Health Insurance Union: ¥2,000; Tokyo Dental: ¥2,000, etc. Check with your specific union. |
| Group Vaccination/Events | Max ¥2,300 subsidy → Actual burden ¥1,760 – ¥2,300 | TOSHINKYO (Tokyo): Eligible from Oct 1 – Jan 31. Similar programs available via medical associations nationwide. |
| Other Local Government Programs | ¥500 – ¥3,000 | Shibuya Ward: Children’s fee is ¥3,800 (after subsidy). Inquire at your local public health center. |
Key Points for Subsidies: Assistance is available in almost all municipalities for children and the elderly. The application deadline is typically around February 2026 (receipts required). Union members should check their health insurance union’s website!
2025 New Trend: Expansion of subsidies for the Nasal Vaccine (FluMist®). Price stabilization due to the transition to the 4-valent vaccine (A-type 2 + B-type 2).
Examples of Actual Costs (2025 Simulation)
| Case | Total Cost (Pre-Subsidy) | Post-Subsidy / Public Aid | Actual Out-of-Pocket Cost | Comment |
| Healthy Adult (1 Person) | ¥4,000 | ¥2,000 – ¥4,000 (Union subsidy available) | Some people pay nothing with company subsidies. | |
| Child (1 Person, 2 Doses) | ¥7,000 | ¥2,000 – ¥4,000 (Local government subsidy) | Hachioji example: ¥3,000 after ¥4,000 subsidy. | |
| Seniors Couple (Ages 65+, Fluad) | ¥17,000 (Fluad) | ¥2,000 – ¥6,000 (Public aid) | Very inexpensive due to public aid! | |
| Family of 4 (2 Adults + 2 Children) | ¥18,000 | ¥6,000 – ¥12,000 | Even cheaper with group vaccination. |
Summary:
“Adults are around ¥4,000, Children are ¥8,000 (2 doses), but subsidies can cut the cost by half or more!”
The fee difference is due to the vaccine procurement cost and the medical institution’s pricing. If you want to keep costs low, make full use of “Local Government Subsidies + Health Insurance Union Subsidies!”
At-Home Testing Kit Ranking (Combined COVID-19 and Influenza)
Here is the English translation of the ranking table for at-home diagnostic kits that test for both COVID-19 and Influenza A/B:
| Rank | Product Name (Manufacturer) | Targets Detected | Sensitivity (Detection Rate) (Estimate: 12-48h Post-Onset) | Result Time | Approximate Price (Per Test) | Suitability for Pregnant Women / Children | Key Features & Availability |
| 1 | Panbio COVID-19/Flu A&B | COVID + Flu A/B | COVID: Approx. 90% | Flu: Approx. 85% | 15 mins | ¥1,980 – ¥2,480 | ◎ (Shallow Nasal Swab) |
| 2 | クイックナビ-Flu+COVID | Same (COVID + Flu A/B) | COVID: 88% | Flu: 80–85% | 15–20 mins | ¥1,780 – ¥2,200 | ◎ (Designed for children’s use) |
| 3 | KBMラインチェック nCoV/Flu | Same (COVID + Flu A/B) | COVID: 85% | Flu: Approx. 80% | 15 mins | ¥1,480 – ¥1,980 | ◎ |
| 4 | イージードック Flu＆COVID-19 | Same (COVID + Flu A/B) | COVID: 87% | Flu: 82% | 15 mins | ¥2,200 – ¥2,600 | ◎ (Many cases of use by pregnant women) |
