State health authorities have reported the first case of major respiratory illness caused by vaping.

The Bismarck Tribune says North Dakota now joins twenty-five other states that have diagnosed cases of serious illness related to e-cigarettes or vaping.

The name and location of the patient have not been disclosed, because of the ongoing investigation.

According to the Centers for Disease Control and Prevention symptoms of vaping-related pulmonary disease include cough, fatigue, dizziness, headache, diarrhea, vomiting, chest pain and difficulty breathing.

Some patients have reportedly required medical treatment and supplemental oxygen.

"As people call in with these reports, we will continue to gather data in an effort to find answers and linkages," a spokesman said. "We're working closely with the CDC on the national outbreak."

The hazards of vaping remain controversial. ABC News reports Michigan on Wednesday became the first state in the country to ban flavored e-cigarettes.

[Sources: Bismarck Tribune, Centers For Disease Control, ABC News Online]