An official website of the United States government

U.S. Citizen Services
Health Alert – U.S. Embassy Tokyo (September 10, 2021)
September 10, 2021

Extended and Updated State of Emergency

The following 19 prefectures and areas remain under a state of emergency until the end of September: Okinawa, Tokyo, Saitama, Chiba, Kanagawa, Osaka, Ibaraki, Tochigi, Gunma, Shizuoka, Kyoto, Hyogo, Fukuoka, Hokkaido, Gifu, Aichi, Mie, Shiga, and Hiroshima.

The following six prefectures remain under a quasi-state of emergency until the end of September: Ishikawa, Fukushima, Kumamoto, Kagawa, Kagoshima, and Miyazaki.

The following two prefectures will be downgraded from a state of emergency to a quasi-state of emergency: Miyagi and Okayama.

The quasi state of emergency for the following six prefectures is set to expire on September 12, 2021: Toyama, Yamanashi, Ehime, Kochi, Saga, and Nagasaki.

U.S. citizens are urged to follow all national and prefectural COVID-related guidance to protect their health, bearing in mind that transmission rates remain high, and that hospital capacity is strained in many areas.

Availability of Consular Services During the State of Emergency

The U.S. Embassy and consulates throughout Japan are open for routine services, but appointment availability remains limited. To schedule an appointment, visit our website for instructions. If you are renewing your passport, for faster service please renew by mail by following the instructions on our website. U.S. Mission Japan personnel continue to follow practices endorsed and requested by the U.S. and Japanese governments to prevent the spread of COVID-19.

COVID-19 Vaccination Updates in Japan

The Immigration Services Agency of Japan recently issued guidance on vaccination vouchers for foreign nationals living in Japan. For assistance regarding vaccine appointment scheduling, please contact your municipal government offices or the Ministry of Health, Labor, and Welfare’s vaccine call center at 0120-761770.

The U.S. government does not provide COVID-19 vaccinations to private U.S. citizens overseas. Anyone considering traveling to the United States for a COVID-19 vaccine should visit the vaccines.gov website for information.

The U.S. Embassy and consulates do not issue certificates for vaccinations, nor are we aware of any entity in Japan that will issue a vaccine certificate for those who received a vaccine overseas. We encourage those who need a vaccination certificate to continue to talk to their local city hall or Ward Office for clarification. At this time, the COVID-19 Japanese vaccine certificate is not being required for any activities domestically within Japan. When traveling internationally, people who received their vaccine in the United States should travel with their white CDC vaccination card. Those who received their vaccine in Japan and wish to apply for a vaccine certificate should contact their Ward Office for additional information.

COVID-19 Testing for Travel to the United States

All air travelers, including U.S. citizens, to the United States are required to show a negative COVID-19 test taken within three days prior to boarding their flights. Any travelers, including U.S. citizens, who do not show proof of a negative COVID-19 test or provide documentation of having recovered from COVID-19 will not be permitted to board their flights. A list of some COVID-19 testing facilities can be found on the Embassy website. This list is not comprehensive.

U.S. military and SOFA status travelers should consult with their chains of command prior to commencing travel.

Being fully vaccinated for COVID-19 does not exempt travelers from the requirement to receive a negative PCR test no more than three days before boarding a flight to the United States.

Continued Restrictions for Travel to Japan

Vaccination status has no impact on an individual’s eligibility to travel to Japan, and Japan’s quarantine restrictions apply regardless of vaccination status. The U.S. Embassy is unable to intervene on behalf of citizens either denied boarding at their point of origin or entry into Japan if airline and/or border entry control officials deem travelers do not meet the necessary criteria for entry into Japan.

The Government of Japan continues to enforce strict travel regulations that bar most foreigners from entering the country. Foreign tourists and non-resident foreign business travelers remain prohibited. Japanese citizens and foreign residents with a reentry permit are generally allowed to reenter Japan but must comply with strict pre- and post-travel testing requirements and quarantine upon arrival. Regardless of the international point of origin, all travelers entering Japan remain subject to a 14-day quarantine upon arrival and are prohibited from using public transportation, including domestic flights, taxis, and rail services.

All travelers inbound to Japan must receive a negative PCR test within 72 hours of flight departure. These tests must be presented in the prescribed format and must comply with very strict requirements. For details, please see the Ministry of Foreign Affairs website. Failure to complete the prescribed form as required by the Ministry of Health, Labor, and Welfare may result in denied entry to Japan. Travelers arriving without proof of pre-travel COVID-19 testing completed no more than 72 hours in advance of the departure of their international flight may be denied entry into Japan.

Travelers arriving from certain areas may be required to quarantine for a period in a government-designated location. The list of areas in the United States from which travelers to Japan must comply with a mandatory three-day quarantine at the Government of Japan’s designated facilities continues to change but are currently as indicated below.

Please note that this three-day quarantine does not replace the Government of Japan’s requirement that arriving travelers self-quarantine for 14 days after arrival. Travelers should check the Ministry of Foreign Affairs’ website before traveling, as the list of states requiring enhanced quarantine measures may change with little notice.

U.S. military and SOFA status personnel should speak with their command about upcoming travel, COVID-19 testing, and any restriction of movement (ROM) or quarantine requirements.

Travelers seeking to transit Japan en route to onward international destinations may continue to do so without quarantine if the transit occurs within the same airport and no overnight stay is required.

For information on Japan’s updated travel restrictions, please see these websites:

Please Note: These complex regulations are subject to change with little notice. The U.S. Embassy’s ability to intervene on behalf of travelers denied boarding at their point of embarkation or denied entry upon arrival to Japan is extremely limited, and those travelers denied entry at Japanese ports of entry will likely be immediately reboarded on flights back to the United States.

For questions regarding the government of Japan’s travel restrictions, the Ministry of Foreign Affairs provides contact information in Section Five of this website.

Follow us on Twitter and Facebook.


State Department – Consular Affairs 888-407-4747