Coco, my feeling is this tincture will be okay microbiologically, I doubt any bacteria or mould will have been able to grow if the berries were completely covered by the alcohol. If it smells off or mould is visible on it, it's probably not safe.
There's debate about the safety of raw elderberry tincture or juice due to the cyanide compounds not being cooked out as they are in a syrup, but this depends who you listen to! I went to the CDC website to check on this, because I've used my elderberries both raw and cooked and wanted a definitive
answer to the question for myself, too. Except of
course there are no definitive answers. Everyone's body will metabolise things different, levels of cyanide may vary from season to season, different types of elderberry may have different levels.
Here's what I concluded:
The CDC "safe" cyanide level for an adult human is up to 0.04 mg/kg/day (
https://wwwn.cdc.gov/tsp/MRLS/mrlslisting.aspx), and above that level health problems may occur with long-term exposure. These numbers are for permitted workplace exposure, so are likely to be well within the safe limits. From this site,
https://nordicfoodlab.wordpress.com/2013/09/05/2013-8-hydrogen-cyanide/ "Raw elderberries can contain up to 3mg of potential HCN (in the form of glycosides) per 100g of fruit." They calculate that it would require 1.5kg of raw elderberries to kill someone. But what they didn't go on to say is that health problems can arise from chronic exposure to lower doses, so let's work out how much we can safely take a day.
Working from the CDC safe dose numbers, a 50 kg (110 pound) adult
should be able to safely consume 67g (2 ounces) of whole fresh raw elderberries a day with no health concerns at all. A 75kg (165 pound) adult should be able to safely consume 100g (3 ounces) of whole fresh raw elderberries per day. Dried elderberries would be a far lower amount, 100g of fresh berries equals 20g of dried. This is for Sambucus nigra fruit only and may not apply to other species of elderberry or other parts of the plant. Leaves and stems have higher cyanide levels and should be removed for anything that will use uncooked berries.
Which means a big glass of raw elderberry juice most likely wouldn't be safe, but a small amount of raw black elderberry juice (based on the "safe" weight of the fruit before pressing, not the finished juice) or a dropper or two of tincture is likely to be okay, even if taken every day.
If the tincture's been steeping a long time, it's going to be stronger so certainly I'd use caution in dosing and start with a very low dose, and wouldn't give it to a child.
Anyone with liver problems or taking medications that are metabolised via the liver will be less likely to be able to convert cyanide into a harmless form that they can
pee out of the body, so extra caution with raw elderberry would be needed.
So my conclusion is that for most adults, raw elderberry products should be safe provided the stated doses aren't exceeded. But my numbers apply to the berries only, and Sambucus nigra only. To be 100% safe and sure, and definitely for children or anyone with impaired liver function, elderberries are safer cooked.