New Hampshire health authorities say they’ve identified the first person in the state with a lung injury associated with electronic cigarette use.

The state’s Division of Public Health Services says the person is an adult from Sullivan County who developed respiratory symptoms and had chest imaging showing evidence of lung injury.

This person reported recent vaping of nicotine products. The division said the individual was hospitalized, but has since been discharged.

As of Oct. 1, there are 1,080 lung injury cases reported from 48 states and 1 U.S. territory. Of these, 18 deaths have been confirmed in 15 states. All reported patients have a history of e-cigarette/vaping product use.

Symptoms of vaping-related lung injuries include cough, shortness of breath or chest pain. Some patients have also experienced nausea, vomiting, diarrhea or abdominal pain.