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Infectious diseases act · PSO
Updated June 2026

💉 Can I refuse my child's mandatory vaccinations?

No
Quick answer

As a rule no: the schedule vaccinations are mandatory. In Poland mandatory protective vaccinations of children (under the Protective Vaccination Programme) are a legal duty of the parents — for mandatory vaccinations the patient's right to refuse consent, which applies to voluntary services, is excluded. The exception is medical contraindications, assessed by a doctor (temporary or permanent deferral). Alongside mandatory vaccinations there are recommended ones (voluntary, often paid), which a parent chooses. Evading the duty can trigger administrative enforcement, and in extreme cases liability under the Code of Petty Offences. If you have doubts, discuss them with a doctor — a health deferral is possible, but a medic decides.

📋 The rules

  • Schedule vaccinations (PSO) are a legal duty
  • For mandatory vaccinations there's no right to refuse consent
  • Exception: medical contraindications (assessed by a doctor)
  • Recommended vaccinations: voluntary, the parent's choice
  • Evasion: administrative enforcement and penalties

🔓 Exceptions

  • Medical contraindications: temporary or permanent deferral assessed by a doctor
  • Recommended vaccinations (outside the mandatory schedule): voluntary
  • Individual vaccination schedule: set with a doctor in justified cases

⚠️ Penalties & fines

Against parents evading a child's mandatory vaccination, administrative enforcement may be started: the authority (the voivode) can impose a fine to compel — even several times — but no more than 10,000 zł at once and 50,000 zł in total. Whoever, despite enforcement measures, doesn't have the child vaccinated is also liable to a fine up to 1,500 zł or a reprimand (Code of Petty Offences, art. 115). "Administrative enforcement" is a procedure to compel fulfilment of the duty, not a criminal penalty. To avoid penalties and protect the child's health: follow the vaccination schedule, and discuss any concerns or contraindications with a doctor, who can defer a vaccination on medical grounds.

📎 Official sources

Last verified: 2026-06-20

❓ Frequently asked

Can I refuse my child's mandatory vaccinations?

As a rule no. Mandatory protective vaccinations from the schedule are a legal duty of the parents, and the patient's right to refuse consent is excluded for them. The exception is medical contraindications, decided by a doctor as a temporary or permanent deferral.

Which vaccinations are mandatory?

Those in the Protective Vaccination Programme (the vaccination schedule) for children and youth, against specific infectious diseases. Alongside them are recommended vaccinations, which are voluntary and often paid. The current schedule is published by the Chief Sanitary Inspectorate.

What's the penalty for not vaccinating a child?

Administrative enforcement may be started. The voivode can impose a fine to compel — up to 10,000 zł at once and 50,000 zł in total. Independently, whoever, despite enforcement measures, doesn't vaccinate the child is liable to a fine up to 1,500 zł or a reprimand.

Are there exceptions to the vaccination duty?

Yes — medical contraindications. If there are health indications, a doctor can defer a vaccination temporarily or recognise a permanent contraindication. The decision is made individually after a qualifying examination. It's worth discussing concerns with a doctor, who will set a safe course.

What is administrative enforcement of vaccinations?

It's a procedure to compel parents to fulfil the vaccination duty, not a penalty in the criminal-law sense. It mainly involves imposing a fine to compel. It's meant to prompt fulfilment of the duty, after which further compulsion becomes pointless.

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