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Vaccines in Czech Republic: Mandatory and Recommended

KidsMap Team

29. January, 2026

A Practical Guide for Parents: Vaccines in the Czech Republic
Vaccination is one of the topics parents ask about most often — and at the same time, one of the most confusing. Which vaccines are mandatory, which are recommended, which are free, and which need to be paid for? This guide explains how childhood vaccination works in the Czech Republic.

How Vaccination Works

In the Czech Republic, childhood vaccines are divided into two main groups:

Mandatory Vaccines – Required by Law
Children receive these vaccines through their pediatrician. Mandatory vaccines protect children against serious and potentially life-threatening diseases. These vaccines are part of the Czech Republic’s vaccination schedule, and their administration is covered by health insurance.

💉 Recommended Vaccines – Not Required by Law
Recommended vaccines are not mandatory, but pediatricians often suggest them because they protect against common or dangerous diseases. In some cases, recommended vaccines may be covered by health insurance for certain ages (for example, pneumococcal and meningococcal vaccines). However, they are usually paid for directly, with the possibility of partial reimbursement through a request to the health insurance provider.

Overview of Vaccines in the Czech Republic

VaccineMandatory / RecommendedDosesInsurance CoverageAge / Notes
Hexavalent (Hexavakcína)✅ Mandatory3 + boosterYes2, 4, 11–13 months; booster 5–6 years
MMR✅ Mandatory2Yes13–18 months; 5–6 years
BCG✅ Mandatory for at-risk groups1YesOnly for risk groups
Pneumococcal💉 Recommended3–4Yes / partialIdeally within first year of life
Rotavirus💉 Recommended2–3No / partialUp to 24 weeks
Meningococcal B💉 Recommended2–3Yes / partialIdeally within first year of life, then 14–16 years
Meningococcal ACWY💉 Recommended1–2Yes / partialIdeally before 2 years, then 14–16 years
HPV💉 Recommended2–3Yes / partialUsually 11–15 years
Influenza💉 Recommended1–2 yearlyNo / partialRecommended for at-risk groups
Tick-borne Encephalitis💉 Recommended3 + boosterNo / partialRecommended from 1 year of age
Hepatitis A💉 Recommended2No / partialRecommended from 1 year of age
Chickenpox (Varicella)💉 Recommended2No / partialRecommended from 1 year of age

Mandatory Vaccines

  • Refusing mandatory vaccination may result in a fine.
  • Unvaccinated children may have limited access to kindergartens (according to applicable legislation).
  • Vaccinations are recorded in the child’s vaccination record.

💉 Where Are Vaccinations Given?

  • Most vaccines are administered by your pediatrician.
  • Some recommended vaccines can also be obtained at:
    • Vaccination centers
    • Travel medicine clinics
  • Always consult your pediatrician before starting any vaccination.

After Vaccination

  • It is recommended to stay near the doctor’s office or health center for 15–30 minutes after receiving a vaccine.
  • For 24 hours after vaccination, it is advised to follow a rest period and avoid sports or strenuous activities.

What Parents Should Do
✔ Register your child with a pediatrician on time
✔ Keep your child’s vaccination record in a safe place
✔ Learn about recommended vaccines and consult your pediatrician
✔ Check possibilities for coverage through health insurance
✔ Don’t hesitate to ask questions — it’s about your child’s health

Childhood vaccination is an important tool for preventing serious illnesses, and its planning should be done in consultation with a pediatrician.

This guide was created in co-authorship with Associate Professor Jan David and the Private Pediatric and Nutrition Clinic Dr. David, s.r.o., which, among other things, provides vaccinations for children and adolescents. More information can be found at https://drdavid.cz/.

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