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Individuals who have recently traveled, especially to areas with poor sanitation or known outbreaks of gastrointestinal infections, should be vigilant

The Centers for Disease Control and Prevention (CDC) states that if a multi-dose vial has been opened or accessed (e.g., needle-punctured) the vial should be dated and discarded within 28 days unless the manufacturer specifies a different (shorter or longer) date for that opened vial