The Binomial Probability Distribution states that

In our case, since the success rate of the vaccine is 92%, its failure rate is equal to 100-92=8%. Then, the Binomial distribution becomes

Where we set p=0.08 (probability of the vaccine to fail), and n=50, the 50 patients in the medical practice.
Therefore, we need to find

Finding P(X<=1),

Simplifying,

The rounded answer is 0.91729, the exact answer is the penultimate line above.