Answering this needs to know what you are looking for, because most people inspect vials without a list and therefore see nothing.
Check the aluminium crimp is fully seated with no lift at the edge, the flip-off cap has not been previously removed, and the stopper sits flush without a visible gap or dimple.
Melt-back at the stopper — a glassy ring where the cake meets the closure — indicates the cycle ran warm at the top of the vial. Cosmetic in most cases, informative always.
The caveat is that inspection cannot detect identity, purity, content or endotoxin, which are the things most likely to be wrong.
Photograph anything unexpected before touching it further.
edited 19 Apr 2026 by laminar_bench — added the placebo-arm figures