Retrieval-augmented generation (RAG) is instrumental for inhibiting hallucinations in large language models (LLMs) through the use of a factual knowledge base (KB). Although PDF documents are prominent sources of knowledge, text-based RAG pipelines are ineffective at capturing their rich multi-modal information. In contrast, visual document RAG (VD-RAG) uses screenshots of document pages as the KB, which has been shown to achieve state-of-the-art results. However, by introducing the image modality, VD-RAG introduces new attack vectors for adversaries to disrupt the system by injecting malicious documents into the KB. In this paper, we demonstrate the vulnerability of VD-RAG to poisoning attacks targeting both retrieval and generation. We define two attack objectives and demonstrate that both can be realized by injecting only a single adversarial image into the KB. Firstly, we introduce a targeted attack against one or a group of queries with the goal of spreading targeted disinformation. Secondly, we present a universal attack that, for any potential user query, influences the response to cause a denial-of-service in the VD-RAG system. We investigate the two attack objectives under both white-box and black-box assumptions, employing a multi-objective gradient-based optimization approach as well as prompting state-of-the-art generative models. Using two visual document datasets, a diverse set of state-of-the-art retrievers (embedding models) and generators (vision language models), we show VD-RAG is vulnerable to poisoning attacks in both the targeted and universal settings, yet demonstrating robustness to black-box attacks in the universal setting.