Abstract: A device for aligning a vial and a syringe used for medical injections. The device includes a vial alignment portion and a syringe alignment portion, both aligned on an alignment axis extending between the two portions. The alignment portions can restrict motion of both the vial and the syringe transverse to the alignment axis so as to maintain a needle of the syringe aligned with an access port of the vial. The device can also include provisions for removing a protective cap from the vial and for removing a protective cover from the syringe needle. The syring and the vial can be packaged in a container which can also be used to align the syringe with the vial.