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The FEV experiments, shown in the games, implied that the super mutants endured consistent exposure. Mostly airborne (under isolated chambers) and/or dipping into vats containing infected liquid.
If we consider time/consistency would play an important role in "successful" mutations (aka not died), then casual contacts with infected body fluids should not be very effective.
Still doesn't mean the virus is not being spread, though; probably just not enough to change someone's entire phenotype.
But since FEV is designed and produced independently by humans, it can make virus-type changes to a cell's DNA without needing to propagate itself. In short, an engineered virus doesn't need to grow and spread to exist.