Electronic cigarettes have grown in popularity over the past few years. The medical literature and mainstream media have published accounts of e cigarettes causing severe respiratory distress in younger patients despite being marketed as a “safer” alternative to regular cigarettes. There have been cases throughout the country where individuals who use these products experience severe respiratory distress. This case report describes the clinical course of a young patient presenting to the emergency department in acute respiratory distress. We discuss the pathophysiology, incidence, prevalence, and morbidity and mortality of EVALI (E cigarette or vaping induced lung injury).