What if nurse didn't shake the vaccine well before use?

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I've got my third HPV shot done. And I've read instructions to the HPV vaccine (Gardasil) and it says "Shake well before use". I remember during my second shot the nurse didn't shake the vial with vaccine well. Does it mean that the vaccine might be less effective?

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    Hi,

    I just had the same experience... did u try to ask a doctor or health practicioner for this?

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