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.