despite the development of effective vaccines and therapeutics, >500 million persons had been infected with the virus and ≈6 million had died (1). In Japan, with a population of ≈125 million, the reported numbers are ≈7 million infections and ≈30,000 deaths by that time (2); however, the actual number of infected persons must be higher than the reported figure because not all infected persons undergo diagnostic testing.A serologic survey can retrospectively find persons who have been infected with the virus (3). Antibodies against the SARS-CoV-2 spike protein are generated by vaccination and natural infection. In contrast, antibodies against other components of the virus, such as the nucleoprotein, represent a history of SARS-CoV-2 natural infection but not vaccination with the COVID-19 vaccines currently available in Japan. Analyses of seroprevalence in several countries have revealed that the actual incidence of SARS-CoV-2 infection is much higher than the reported COVID-19 cases (3). For example, in the United States, the seroprevalence of antibodies against the SARS-CoV-2 nucleoprotein ranged from 3% to 10% in 2020 (4-7), and this number reached roughly 20%-60% in 2021 (8,9). However, diagnostic tests confirmed only a Age-Stratified Seroprevalence of SARS-CoV-2 Antibodies before and during the Vaccination Era, Japan,