The disclosure pertains to an automated apparatus for filling capped needle syringes. The syringes are held in a rotatable motor controlled carousel. The carousel turns to place a syringe proximate to a dispenser mechanism. A rotatable plate on top of the dispenser mechanism holds an automated cap extractor/installer and at least one inverted vial having a needle perforatable surface. The rotatable plate can also move up and down relative to the top of the dispenser mechanism. The cap can be removed by the automated cap extractor/installer and the rotatable plate rotated to place the inverted vial over the exposed syringe needle. The rotatable plate can descend so that the needle perforates the surface of the vial. A syringe plunger tool of the dispenser mechanism engages the syringe plunger and pulls it downward. The syringe plunger tool can disengage and return to its original position. The rotatable plate can raise to remove the needle from the vial. The rotatable plate can rotate to place the automated cap extractor/installer over the exposed needle. The automated cap extractor/installer holding the syringe needle cap can descend and the cap reattached to the syringe. The carousel can rotate to present the filled and capped syringe to an automated syringe inverter/extractor component that removes the capped syringe from the carousel and places the syringe in a holder.