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No vaccine is 100% effective. They need to test for rabies in case the vaccine doesn't work properly so they can take extra care to prevent issues. If it comes back negative, fine. If it comes back positive then you need to take extreme care or the person is going to die. I'd rather a squirrel, which someone should have as a pet anyway, die instead of a person. There's no way that house was ideal for a squirrel unless they lived in a forest.
Edit: reading the information someone else posted, it is 100% effective, but not just with one shot. Several doses need to be administered several days apart. If the test comes back negative, those don't need to be taken.