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Freezing risk is highest in these situations: placing the vial against the back wall of a cold refrigerator, storing it in a mini-fridge with poor temperature control, leaving it in a car during winter, and shipping without adequate insulation during cold months

Tip: Train your staff to recognize modifier requirements

Concomitant ingestion of other NSAIDs, glucocorticoids, or serotonin reuptake inhibitors may increase the risk of gastrointestinal ulceration and bleeding

Draw and inject them separately, even if you administer them at similar times

Sourcing from reputable suppliers who provide third-party testing certificates, maintain proper storage and handling, offer consistent product quality, and demonstrate transparency about their manufacturing processes helps mitigate these risks

Report Z23 for all vaccination diagnoses