My name is mike and i have worked for the FDA for 10 years. Rarely do we have someone die from expired ketchup. Normally we get around 50-100 cases of severe food poisoning a year from this food, but only 2 deaths have been linked to expired ketchup, specifically heinz, over the past 5 years. Both cases were also linked to tomatoes grown in central California. The best way to prevent this is to throw away any food that expires within the same month being used. However, since the acidic properties of tomatoes that have gone bad work directly against the colon, a half cup of vinegar is highly effective in combatiing any sickness from the expired food product.
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Yes, its possible even though most people never refrigerate their ketchup. Most restaurants are required by food safety law to clean and refill their bottles as often as daily (regulations vary). Ketchup has vinegar in it (an acid) which makes it hard for bacteria to form, but it only takes a little to make you sick.
Hell yes you can! I am currently suffering from it right now and it is NOT the business!! Never again will I touch ketchup that hasnt been refridgerated!