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Multiple realities
(covers information from several alternate timelines)

A vaccine being administered.

A vaccine was a chemical preparation that teaches a healthy immune system to fight a pathogen. Some vaccines were made of live bacilli, which had to be shipped in a stasis field. (TNG: "True Q")

Sometime around 1960, scientists on a planet exactly like Earth developed the life prolongation complex. This was a series of viruses that became fatal when the infected individual entered puberty. In 2266, Doctor McCoy successfully developed a vaccine that cured at least the fatal form of the disease. (TOS: "Miri")

This would go beyond the capabilities of what is currently understood to be a vaccine, which need to be administered before patients become affected.

In 2004, the Xindi-Reptilians who were gathering individuals of various blood types to create a bioweapon explained away their activities to Loomis by claiming they were working on an experimental vaccine for which they did not have approval. (ENT: "Carpenter Street")

In the alternate reality McCoy gave Kirk a vaccine for a viral infection spread by Melvaran mud fleas to which Kirk had a bad reaction resulting in swollen hands and numb tongue, which hindered his attempt to warn Uhura about a possible Romulan attack when Nero attacked Rura Penthe in 2258. (Star Trek)

A shipment of highly perishable vaccines was among the medical equipment destined for Theta VII. (TOS: "Obsession")

In 2364, Ligon II had a vaccine to cure Anchilles fever, which the population of Federation planet Styris IV was suffering from. The USS Enterprise-D was sent Ligon II to negotiate with Lutan, leader of the Ligonians, to acquire the vaccine. (TNG: "Code of Honor")

In 2365, Hester Dealt speculated that a vaccine for the mutated strain of [[plasma plague might never be found. (TNG: "The Child")

Retroviral vaccines in combination with Bio-mimetic gels could create a biogenic weapon. (TNG: "Preemptive Strike")

During the 24th century, radiogenic vaccines which protected against radiation were also available. (VOY: "Inside Man")

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