niman

'This isn't as safe as it seems:' Family of Nebraska man who died from vaping send a message John Steffan's family says DHHS calls him the state's first death related to vaping 157 Shares Updated: 2:37 PM CDT Oct 1, 2019 Michelle Bandur OMAHA, Neb. — Members of an Omaha family said they thought John Steffen, 68, died from pneumonia in May. "All along we were thinking it's Pneumonia and the death certificate said acute respiratory distress," said Steffen's widow, Kathleen Fimple. She said a doctor from the Nebraska Department of Health and Human Services called her last week and told her Steffen's death is connected to vaping. "I was surprised," she said. Fimple said the state doctor told her that her husband's lungs showed ground glass opacity, something now linked to vaping. "I said, 'Why didn't it look like a lifetime smoker's bad lungs?' and they said. 'It's different. It's clearly different." Steffen was a lifetime, heavy smoker who picked up vaping five years ago to quit smoking cigarettes. "Even though he didn't quit smoking, I think he thought he was in better shape and that it was better for his health to be vaping, than it was to be smoking cigarettes," she said. "We want people to know that may very well not be the case." Fimple said her husband purchased nicotine only cartridges from big box retail stores. She said he did not visit local vape shops or buy THC products. The family hopes people hear their story and learn about the dangers of vaping before it's too late. "Unfortunately, some people have to die before we realize what can treat it," daughter Dulcia Steffen said. "What we went through, losing dad, watching him, literally take his last breath, his last gasp of air, I wouldn't wish on anyone," Steffen said. https://www.ketv.com/article/this-isnt-as-safe-as-it-seems-family-of-nebraska-man-who-died-from-vaping-send-a-message/29313158

"All along we were thinking it's Pneumonia and the death certificate said acute respiratory distress," said Steffen's widow, Kathleen Fimple. She said a doctor from the Nebraska Department of Health and Human Services called her last week and told her Steffen's death is connected to vaping. "I was surprised," she said. Fimple said the state doctor told her that her husband's lungs showed ground glass opacity, something now linked to vaping. "I said, 'Why didn't it look like a lifetime smoker's bad lungs?' and they said. 'It's different. It's clearly different." Steffen was a lifetime, heavy smoker who picked up vaping five years ago to quit smoking cigarettes. "Even though he didn't quit smoking, I think he thought he was in better shape and that it was better for his health to be vaping, than it was to be smoking cigarettes," she said. "We want people to know that may very well not be the case."

The first Nebraska vaping death (68M) died in May. Long tern smoker who switched to vaping 5 years ago was classified as a vaping death because CT scan showed Ground Glass Opacity. https://www.ketv.com/article/this-isnt-as-safe-as-it-seems-family-of-nebraska-man-who-died-from-vaping-send-a-message/29313158

She said a doctor from the Nebraska Department of Health and Human Services called her last week and told her Steffen's death is connected to vaping. "I was surprised," she said. Fimple said the state doctor told her that her husband's lungs showed ground glass opacity, something now linked to vaping. "I said, 'Why didn't it look like a lifetime smoker's bad lungs?' and they said. 'It's different. It's clearly different." Steffen was a lifetime, heavy smoker who picked up vaping five years ago to quit smoking cigarettes. https://www.google.com/amp/s/www.ketv.com/amp/article/this-isnt-as-safe-as-it-seems-family-of-nebraska-man-who-died-from-vaping-send-a-message/29313158

Virginia Situational Update As of September 30, 2019, there have been 31 cases including 1 reported death, associated with this outbreak in Virginia. Region Confirmed Probable Total Central Region 1 0 1 Eastern Region 5 2 7 Northern Region 8 7 15 Northwest Region 2 3 5 Southwest Region 2 1 3 Total 18 13 31 These case counts are based on the September 18, 2019 CDC case definition.

Vaping-associated Illness* Confirmed and Probable Cases Total Confirmed 12 Total Probable 2 Deaths 1** Most Recent 9/19/19 Age Range 16-51 Median Age 33 Gender 4 female, 10 male Regions of State Impacted Statewide Reports Under Investigation Total 32 Most Recent 9/25/19 Age Range 15-46 Median Age 20 Gender 7 female, 25 male Regions of State Impacted North, Central *Chart Updated Every Tuesday **Part of Probable Cases

Since June 2019, CDPH has received reports that 102 people in California who have a history of vaping were hospitalized for severe breathing problems and lung damage, and two people have died.

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Tonight at 9 PM ET MONDAY Dr. Henry Niman Mystery Vaping Crisis Update

First vaping related death reported in Nebraska By 6 News | Posted: Mon 3:17 PM, Sep 30, 2019 | Updated: Mon 3:26 PM, Sep 30, 2019 OMAHA, Neb. (WOWT)-- The first Nebraska death related to severe lung disease associated with e-cigarettes or vaping has been reported to the Nebraska Department of Health and Human Services, according to a release from the DHHS. According to the release, the person was in the Douglas County area and over the age of 65. There have been 12 deaths reported in 10 other states associated with the same e-cigarette or vaping outbreak, according to the Centers for Disease Control and Prevention. “Prior to the outbreak of lung injury associated with vaping in Wisconsin and Illinois this past August, vaping-associated lung injuries were unreported and not tracked by public health agencies,” said Dr. Tom Safranek, State Epidemiologist for DHHS. “Once the problem was recognized, states quickly ramped up surveillance and found current cases, but have also discovered cases that occurred before the August outbreak.” The death in Nebraska occurred in May, according to Public Health Officials. According to the release, Nebraska has 11 cases of vaping related illness and two under investigation. Some have been hospitalized, most are males, and over the age of 60. Officials urge people to stop using an e-cigarette or vaping devices while they’re under investigation and have included some resources to help those who wish to quit. Those resources can be found on the Nebraska Tobacco Quit-line website. https://www.wowt.com/content/news/First-vaping-related-death-reported-in-Nebraska--561800421.html

Reported To DHHS For Immediate Release: 9/30/2019 CONTACT Leah Bucco-White, Communications and Legislative Services, (402) 471-9356 [email protected] LINCOLN – The first Nebraska death related to severe lung disease associated with e-cigarettes or vaping has been reported to the Nebraska Department of Health and Human Services. The person was over 65 and from the Douglas County Health Department area. In addition to the death in Nebraska, there have been 12 deaths reported in 10 other states as part of a multistate outbreak, according to the Centers for Disease Control and Prevention. “Prior to the outbreak of lung injury associated with vaping in Wisconsin and Illinois this past August, vaping-associated lung injuries were unreported and not tracked by public health agencies," said Dr. Tom Safranek, State Epidemiologist for DHHS. “Once the problem was recognized, states quickly ramped up surveillance and found current cases, but have also discovered cases that occurred before the August outbreak." Public health officials said the death in Nebraska occurred in May. The state currently has 11 cases of vaping-related illness and two under investigation. The majority are males. Age range is late teens to late 60s. Some of those affected were hospitalized. DHHS has alerted Nebraska providers, advising them to consider vaping-related illness in patients presenting with respiratory symptoms and a history of vaping, and to report those suspected cases to their local health department or DHHS. The Department is working with local health departments, the CDC and other states to investigate and study any reported case to combine all findings at the national level to come up with a complete picture of this health problem. While investigation of devices and products is ongoing, CDC has recommended the public consider not using e-cigarettes or vaping products, particularly those containing THC. Additionally, youth, young adults, and women who are pregnant should not use e-cigarettes or vaping products. For more information about e-cigarettes, go to https://e-cigarettes.surgeongeneral.gov/. Resources are available for Nebraskans who would like some help quitting nicotine-containing products (cigarettes, chew, or e-cigarettes) or tobacco. Resources include: Talking to your healthcare provider about your desire to quit. Calling the Nebraska Tobacco Quitline at 1-800-QUIT-NOW (784-8669) or 1-855-DÉJELO-YA (1-855-355-3569) for Spanish Services. Translation services are also available in more than 170 languages. The Quitline's evidence-based combination of free and confidential coaching and a free two-week supply of nicotine replacement therapy helps set tobacco-users up to quit. Checking your insurance benefits to see what treatment plans are covered and what additional benefits you qualify for. For additional resources and to learn more about the Nebraska Tobacco Quitline, visit www.QuitNow.ne.gov .

Public health officials said the death in Nebraska occurred in May. The state currently has 11 cases of vaping-related illness and two under investigation. The majority are males. Age range is late teens to late 60s. Some of those affected were hospitalized. http://dhhs.ne.gov/Pages/First-Nebraska-Death-Related-to-Vaping-Illness-Reported-to-DHHS.aspx

Oregon officials say deaths from lung illness may be linked to vaping NEWS Posted: Sep 5, 2019 / 05:38 AM EDT / Updated: Sep 5, 2019 / 05:40 AM EDT Salem, O.R. (CBS/KOIN) — Oregon health officials say they are investigating the death of a person who had severe respiratory illness after using an e-cigarette. Investigators at the Oregon Health Authority Public Health Division said Tuesday that they received reports that the person who died in July had recently used a vaping device containing cannabis bought from an Oregon store. Officials from the Centers for Disease Control and Prevention said they are looking at 215 possible cases across 25 states. All the cases involve teens or adults who have used e-cigarettes or other vaping devices. Symptoms of the disease include coughing, shortness of breath, chest pain, fatigue, nausea and vomiting. The Oregon Health Authority did not say the age or gender of the person who died. Public health physician Ann Thomas said investigators don’t yet know whether the illnesses are caused by contaminants, ingredients in the liquid or something such as the device itself. Officials from the Centers for Disease Control and Prevention last week recommended that people who vape consider avoiding e-cigarettes while they investigate. The death comes less than two weeks after Illinois health officials said that a patient who contracted a serious lung disease after vaping died, which may have marked the first death in the U.S. linked to the smoking alternative. Sickened individuals experienced symptoms including shortness of breath, cough and chest pain. Last week, an 18-year-old told CBS News that his lung collapsed after vaping. Chance Ammirata, who had never been a traditional smoker, said he started using Juul e-cigarettes a year and a half ago, when he was 16. He now believes Juuls caused his lung injury. In an exclusive interview with “CBS This Morning’s” Tony Dokoupil, Juul CEO Kevin Burns said the company never intended for Juul to be used by kids or teenagers. “As a parent of a 16-year-old, 19-year-old, I don’t want my kids using the product. It’s not intended for them,” Burns said.

Oregon officials say deaths from lung illness may be linked to vaping Posted: Sep 5, 2019 / 05:38 AM EDT / Updated: Sep 5, 2019 / 05:40 AM EDT Salem, O.R. (CBS/KOIN) — Oregon health officials say they are investigating the death of a person who had severe respiratory illness after using an e-cigarette. Investigators at the Oregon Health Authority Public Health Division said Tuesday that they received reports that the person who died in July had recently used a vaping device containing cannabis bought from an Oregon store. https://www.rochesterfirst.com/news/oregon-officials-say-deaths-from-lung-illness-may-be-linked-to-vaping/

In preferred embodiments, the tobacco or botanical is heated to about 300.degree. C. at most. In other preferred embodiments, the tobacco or botanical is heated to about 200.degree. C. at most. In still other preferred embodiments, the tobacco or botanical is heated to about 160.degree. C. at most. It should be noted that in these lower temperature ranges (<300.degree. C.), pyrolysis of tobacco or botanical does not typically occur, yet vapor formation of the tobacco or botanical components and flavoring products does occur. In addition, vapor formation of the components of the humectant, mixed at various ratios will also occur, resulting in nearly complete vaporization, depending on the temperature, since propylene glycol has a boiling point of about 180.degree.-190.degree. C. and vegetable glycerin will boil at approximately 280.degree.-290.degree. C. http://patft.uspto.gov/netacgi/nph-Parser?Sect1=PTO2&Sect2=HITOFF&p=1&u=%2Fnetahtml%2FPTO%2Fsearch-bool.html&r=23&f=G&l=50&co1=AND&d=PTXT&s1=monsees.INNM.&s2=bowen.INNM.&OS=IN/monsees+AND+IN/bowen&RS=IN/monsees+AND+IN/bowen

United States Patent 9,549,573 Monsees , et al. January 24, 2017 Vaporization device systems and methods Abstract Vaporization devices and methods of operating them. In particular, described herein are methods for controlling the power applied to a resistive heater of a vaporization device by measuring the resistance of the resistive heater at discrete intervals. Changes in the resistance during heating may be used to control the power applied to heat the resistive heater during operation. Also described herein are vaporization devices that are configured to measure the resistance of the resistive heater during heating and to control the application of power to the resistive heater based on the resistance values. Inventors: Monsees; James (San Francisco, CA), Bowen; Adam (San Francisco, CA), Hatton; Nicholas Jay (San Francisco, CA), Christensen; Steven (San Francisco, CA), Lomeli; Kevin (San Francisco, CA), Atkins; Ariel (San Francisco, CA) Applicant: Name City State Country Type PAX Labs, Inc. San Francisco CA US Assignee: PAX Labs, Inc. (San Francisco, CA) Family ID: 56127962 Appl. No.: 15/053,927 Filed: February 25, 2016 http://patft.uspto.gov/netacgi/nph-Parser?Sect1=PTO2&Sect2=HITOFF&p=1&u=%2Fnetahtml%2FPTO%2Fsearch-bool.html&r=23&f=G&l=50&co1=AND&d=PTXT&s1=monsees.INNM.&s2=bowen.INNM.&OS=IN/monsees+AND+IN/bowen&RS=IN/monsees+AND+IN/bowen

Patent assigned to PAX Labs (which spun out JUUL) issued in 2017 describes device that can vaporize vegetable glycerin (oil used to solubilize THC and CBDs). http://patft.uspto.gov/netacgi/nph-Parser?Sect1=PTO2&Sect2=HITOFF&p=1&u=%2Fnetahtml%2FPTO%2Fsearch-bool.html&r=23&f=G&l=50&co1=AND&d=PTXT&s1=monsees.INNM.&s2=bowen.INNM.&OS=IN/monsees+AND+IN/bowen&RS=IN/monsees+AND+IN/bowen

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Current Confirmed Cases: 6* (Age range: 18–44 years)*As of September 26, 2019 (Case count updated every Thursday)

Weekly Update: Outbreak of Lung InjuryAssociated with E-Cigarettes/Vaping The Oklahoma State Department of Health (OSDH) is participating in a national investigation of an outbreak of severe lung injury associated with e-cigarette product (devices, liquids, refill pods, and/or cartridges) use. The purpose of this page is to provide weekly updates on the number of confirmed and probable cases in Oklahoma as well as information regarding the status of the national investigation. Please see below for updated case counts and outbreak information. We are asking health care providers to report suspected cases based on symptoms and a history of e-cigarette use. Providers are encouraged to visit the information for health care professionals page for recommendations, reporting instructions, and clinical resources. Number of Reported Cases of Severe Lung Injury Associated with E-Cigarette Use or Vaping, Oklahoma Number of new confirmed or probable cases between 9/19/2019 and 9/25/2019 Cumulative number of confirmed or probable cases Number of new confirmed or probable deaths between 9/19/2019 and 9/25/2019 Cumulative number of confirmed or probable deaths 1 1 0 0 Symptoms Symptoms have resulted in hospitalizations lasting from days to weeks, with some patients admitted to intensive care units. Symptoms included shortness of breath, fever, cough, chest pain, vomiting, abdominal pain, and diarrhea. Some patients have reported that their symptoms developed over a few days, while others have reported that their symptoms developed over several weeks. A lung infection does not appear to be causing the symptoms. Background Electronic cigarettes – or e-cigarettes — are also called vapes, e-hookahs, vape pens, and electronic nicotine delivery systems (ENDS). Using an e-cigarette product is commonly called vaping. E-cigarettes work by heating a liquid to produce an aerosol that users inhale into their lungs. The liquid can contain: nicotine, tetrahydrocannabinol (THC) and cannabinoid (CBD) oils, and other substances and additives. What we know There have been 805* cases of lung injury reported from 46 states and 1 U.S. territory. Twelve deaths have been confirmed in 10 states. CDC has received complete sex and age data on 373 cases. Nearly three fourths (72%) of cases are male Two thirds (67%) of cases are 18 to 34 years old 16% of cases are under 18 years 38% of cases are in people under 21 years 17% are 35 years or older All reported cases have a history of e-cigarette product use or vaping. Based on initial data from certain states we know: Most patients have reported a history of using e-cigarette products containing THC. Many patients have reported using THC and nicotine. Some have reported the use of e-cigarette products containing only nicotine. The OSDH is in the process of investigating suspected cases reported by health care providers. We expect that clinicians may look back for older cases. *The increase in cases from last week represents both new cases and recent reporting of previously-identified cases to CDC. What we don't know We do not yet know the specific cause of these illnesses. The investigation has not identified any specific e-cigarette or vaping product (devices, liquids, refill pods, and/or cartridges) or substance that is linked to all cases. What the OSDH recommends The CDC released interim recommendations for health care providers, health departments, and the public. Until we know more, if you are concerned about these specific health risks, the OSDH recommends that you consider refraining from using e-cigarette or vaping products. For help quitting e-cigarettes/vaping, contact your health care provider or the Oklahoma Tobacco Helpline at 1-800-QUIT-NOW (784-8669) or utilize the resources included at the bottom of the page. If you are an adult who used e-cigarettes containing nicotine to quit cigarette smoking, do not return to smoking cigarettes. People experiencing lung symptoms after vaping should seek clinical care and avoid e-cigarettes or other vaping products, as continued use may lead to worsening symptoms. People should avoid vaping non-medical cannabis-based products, as the ingredients in these products are unknown. Regardless of the ongoing investigation: Anyone who uses an e-cigarette or vaping product should not buy these products (e.g., e-cigarette or vaping products with THC, other cannabinoids) off the street, and should not modify or add any substances to these products that are not intended by the manufacturer. Youth and young adults should not use e-cigarette products. Women who are pregnant should not use e-cigarette products. Adults who do not currently use tobacco products should not start using e-cigarette products. Submit detailed reports of any unexpected health or product issues related to tobacco or e-cigarette products to the FDA via the online Safety Reporting Portal. Resources Centers for Disease Control and Prevention Response U.S. Food and Drug Administration Response E-Cigarette Microlearning Video - Long Version (Tobacco Control Network) Exchange Lab: Evidence-Based Tobacco Education Print Materials, Web Content, and Video for Your Organization (U.S. Food and Drug Administration) Talk with Your Teen About E-Cigarettes: A Tip Sheet for Parents (Centers for Disease Control and Prevention) How FDA is Regulating E-Cigarettes (U.S. Food and Drug Administration) Smokefree.gov (U.S. Department of Health and Human Services) https://www.ok.gov/health/Prevention_and_Preparedness/Injury_Prevention_Service/Vaping-related_Lung_Injury/index.html

http://www.ndhealth.gov/vaping/

The Centers of Disease Control and Prevention (CDC) is coordinating with several states to investigate multiple reports of vaping related lung injury. Healthcare providers and clinicians should report any suspected cases of severe pulmonary disease associated with e-cigarette use to their local health department. DHEC Health Alert Network CDC Clinical Outreach and Communication Activity Clinical Action Alert Outbreak of Lung Disease Associated with E-Cigarettes, or Vaping (CDC) CDC Investigates Lung Injury through Emergency Operations Center E-cigarettes, also known as Electronic Nicotine Delivery Systems (ENDS), e-pipes, hookah pens, JUULs, mods, vape pens, or vapes are battery-powered devices that allow users to inhale aerosolized liquid (e-liquid). Anyone who uses e-cigarettes, or who is considering using e-cigarettes needs to be aware of the serious potential risk associated with vaping. The long-term health effects of vaping are unknown. What we do know is that e-cigarettes and other ENDS products produce aerosol, not harmless “water vapor”. This aerosol can contain harmful and potentially harmful substances including nicotine and ultrafine particles that can be inhaled deep into the lungs; flavoring such as diacetyl, a chemical linked to serious lung disease; volatile organic compounds; cancer-causing chemicals and heavy metals such nickel, tin, and lead. Adults & E-Cigarette Use While many adults attempt to quit using traditional forms of tobacco by switching to e-cigarettes, these products are not FDA-approved quitting aids and they are not proven to help people quit. Free quitting medications and counseling are available to all South Carolinians by calling the SC Tobacco Quitline 1-800-QUIT-NOW (1-800-784-8669) or by visiting www.quitnow.net/southcarolina. For more free quit smoking resources visit https://www.scdhec.gov/ReadyToQUIT. E-cigarettes produce several dangerous chemicals, including acetaldehyde and formaldehyde, which can cause lung disease, as well as cardiovascular disease. Most e-cigarettes contain nicotine, which is highly addictive. Many e-liquids contain more nicotine than a regular cigarette. One JUUL pod contains as much nicotine as 20 cigarettes. Exposure to e-cigarette aerosol may be a trigger for adults with breathing problems, such as asthma, increasing the risk of a severe asthma attack. Acute nicotine exposure can be toxic. Poisonings have resulted from swallowing, breathing, or absorbing e-liquid through the skin. Nicotine is not safe for pregnant women and their developing babies. E-cigarettes & Vapes: Basic Facts Electronic Nicotine Delivery Systems (ENDS) Factsheet (pdf) CDC Electronic Cigarette Basics (CDC Office on Smoking and Health) Youth, E-Cigarettes, & Nicotine Youth e-cigarette use has been declared an epidemic by the US Surgeon General. In South Carolina, e-cigarette use among high school youth surpasses use of other tobacco products. E-cigarette use among SC high school students increased by 21% between 2015 and 2017. Get more data on SC youth e-cigarette use from the SC Youth Tobacco Survey. E-cigarettes and other ENDS products have evolved to look like a variety of everyday objects. Some still look like regular cigarettes but others look like USB sticks, highlighters, pens, and other innocent items. Kids are more at risk for the harmful effects of e-cigarette use because the brain continues to develop until about the age of 25. Exposing the adolescent brain to nicotine can disrupt attention, learning, and memory. Even in small doses, nicotine exposure in adolescence can cause long-lasting changes in brain development and future addiction. Recent evidence shows that compared to youth who have never tried e-cigarettes, youth who have tried e-cigarettes are more likely to smoke combustible cigarettes in the future. No amount of nicotine is safe for youth. The aerosol from e-cigarettes can trigger breathing problems, such as asthma. Youth Risks & E-cigarettes Youth and Nicotine Addiction (pdf) CDC Quick Facts Know the Risks Parents and caregivers can influence the decision to use e-cigarettes or other ENDS products. If you use tobacco products, your child or teen is also likely to use tobacco products. If you use tobacco, set a good example and try to quit. For free help call the SC Tobacco Quitline 1-800-QUIT-NOW (1-800-784-8669). Other ways to help your child or teen include: Talk to your child about the risks associated with e-cigarette use Make an appointment for your child to talk to their doctor about the risks associated with e-cigarette use Talk to teachers or school administrators about enforcement of the school’s tobacco-free campus policy and youth tobacco prevention curriculum Encourage your child or teen to learn the facts and get tips for quitting Resources for parents: What Parents Should Know Talk to your teen about e-cigarettes (Surgeon General) Hoja de consejos para padres en español (Cirujano General) Vaping: What Parents Should Know (Partnership for Drug Free Kids) Resources for healthcare providers: Educate Young Patients About Risks of E-Cigarettes (Surgeon General) Resources for educators: What Educators and Coaches Need to Know About Vaping Tags

SC Cases of Severe Pulmonary Illness Associated with E-Cigarette Use, or Vaping Confirmed or Probable 10 https://www.scdhec.gov/severe-pulmonary-disease-associated-e-cigarette-use

The first vaping-related death in North Carolina was reported Thursday, officials say. Cone Health, a hospital in Greensboro, reported that a patient died Wednesday after being admitted to the hospital for vaping-related issues, according to Doug Allred, a spokesperson for the hospital. The patient was the eighth admitted to the hospital with vaping-related issues since August, Allred said. Information about the patient or the circumstances has not been released, according to Allred. There have been 40 “vaping-related incidents” this year, according to statistics released by the North Carolina Department of Health and Human Services on Thursday. Two people in their 20s were put on life support at a hospital in Winston-Salem for serious lung issues related to vaping earlier this month, The News & Observer reported. Doctors at the hospital believed the two illnesses resulted from “using electronic cigarettes with liquids that contain cannabis products including THC,” according to The News & Observer. As of Tuesday, there have been 805 reported cases of “lung injury” related to vaping from 46 different states, according to the Centers for Disease Control and Prevention, and there have been 12 confirmed deaths in 10 different states, not including the one in North Carolina, the CDC says. Of the cases of lung injury, most patients “reported a history of using e-cigarette products containing THC,” the CDC says, and 67 percent of patients were between the ages of 18 and 34. The CDC, Food and Drug Administration and local health departments are investigating this outbreak of lung illness but don’t know what is causing it, the CDC says. The CDC recommends that those concerned about the health risks of vaping refrain “from using e-cigarette or vaping products.” Those that have “recently used an e-cigarette or vaping product” and experience symptoms of lung injuries should go to a doctor, the CDC recommends. These symptoms include cough, shortness of breath, chest pain, nausea, vomiting, diarrhea, fatigue, fever and abdominal pain, the CDC says. https://www.newsobserver.com/news/state/north-carolina/article235507157.html