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Journey of A Tainted Vape Cartridge: A Leafly Investigation
Journey of A Tainted Vape Cartridge: A Leafly Investigation
Jon Doneson started feeling ill on a Friday morning in June, after he arrived
home in New York on a red-eye flight from the West Coast. Heʼd traveled to
China, then to California, as part of his job managing the back office of his
wife Susanʼs apparel company. He hoped to re-acclimate to Eastern time,
so rather than resting he went to the gym. But he became ill after his
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Doneson, 52, wrote it off to fatigue. In subsequent weeks Susan pointed out
that he had a strange cough. But to Doneson it wasnʼt particularly
bothersome.
Susan and Jon Doneson fought Jonʼs strange lung illness for weeks. They didnʼt suspect a
THC vape pen until a pulmonologist noticed that heʼd mentioned it on an intake form.
(Courtesy of Jon Doneson)
Jon Doneson was quarantined and “The cough was actually very painful,” he
fighting for his life. Then a says. He experienced night sweats. He had
pulmonologist recalled that he'd
mentioned using a vape pen. a fever and pain. His doctor diagnosed
bronchitis, but the prescribed meds failed
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About ten days later, though, Doneson felt so awful that he asked his wife to
take him to the doctor, who told him to go straight to the emergency room.
When doctors at Manhassetʼs North Shore University Hospital learned heʼd
recently visited China, they quarantined him and tested him for various
ailments. All came back negative.
Sickened lungs show up as cloudy on the left x-ray, and clear after treatment of one
suspected VAPI patient in Utah. (Courtesy University of Utah)
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As his situation worsened, doctors asked Susan Doneson to fill out a ‘Do
Not Resuscitateʼ form. She was emotionally devastated. Jon tried to calm
her. “Listen,” he told her, “I had a rock star of 52 years of a life.” But he
wanted to stay alive for their 10-year-old son.
He might have died had a pulmonologist not noted a small detail while
obtaining his medical history: Doneson said that a few months earlier, heʼd
started using a THC vape pen.
Illicit market THC carts containing high levels of vitamin E oil, confiscated in New York.
(Courtesy New York State Department of Health)
As the world now knows, a multi-billion dollar marketplace exists for illicit
THC vaping devices and cartridges. Millions of street consumers use them,
and unlike vape carts purchased in state-licensed medical marijuana
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Until this year, the health effects of street-purchased vape cartridges went
largely unnoticed. Itʼs not clear whether thatʼs because doctors didnʼt spot
earlier vape-related lung irregularities, or if something dramatically changed
in the vaped oil itself in the past few months. What we know is this: Near the
end of 2018, a new additive entered the street THC vape cart supply. And
hundreds of serious pulmonary injuries, and possibly as many as nine
deaths, followed.
Public health officials and labs have discovered the new additive—a form of
vitamin E oil used as a cutting agent—tainting a large amount of the devices
that sick people reported using. At Leafly, we wanted to know how that
additive entered the market, and why.
Our team of reporters and editors investigated the origin of the various
components of a street-market THC vape cartridge. Ultimately, we were
able to identify a contaminated supply chain that begins in the
manufacturing centers of China, runs through the wholesale markets of
downtown Los Angeles, disperses to regional pen-filling operations, and
finally ends up in the hands of unsuspecting consumers like Jon Doneson.
Itʼs important to note that this supply chain The supply chain begins in China,
is not coordinated or controlled by powerful runs through Los Angeles,
disperses to regional pen
drug cartels. Companies small and large factories, and ends up in the lungs
operate independently at every link in the of unsuspecting consumers.
chain.
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Most VAPI victims used THC carts purchased in the illicit street market.
Many used THC and nicotine carts, and some claim to have used nicotine
only. All three products can be manufactured with the same hardware. The
same supply chain that produces tainted THC vapes also yields dirty,
counterfeit JUUL pods for the nicotine market, and tainted CBD carts for
the CBD market.
“Itʼs ten times easier,” he says. “You can buy nicotine on Amazon. Same for
CBD. Every constituent up till the THC oil is exactly the same.”
Public health officials have raised the alarm about illicit THC vape cartridges
for more than two months now. In early September, Leafly identified the
suspected toxic substance—tocopheryl-acetate (vitamin E oil)—and the
brand names of the vape cart additives containing it. Although some
companies have stopped selling them, tocopheryl-acetate cutting agents
remain largely available for purchase and in the illicit THC vape cart market
still today.
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Many factories are “little more than a collection of people trying not to
starve,” added Hackett. “Theyʼll make you anything.”
Last year those factories were making fidget spinners. This year theyʼre
turning out empty vape cartridges, fake JUUL pods, and counterfeit
packaging.
Cheap imported vaping hardware can be had at wholesale volumes and prices in downtown
Los Angeles. (David Downs/Leafly)
The center of North Americaʼs illicit vape cart industry is a 12-block region
near LAʼs Skid Row. Itʼs known as the Toy District, because years ago it
served as the center of Americaʼs cheap wholesale toy industry. Today it
remains the place to buy low-quality imported goods in large lots: toys,
restaurant equipment, party supplies, votive candles.
Between East 3rd and Boyd, itʼs all vapes, LA's Toy District serves as the
vapes, and more vapes. It only takes a wad nation's cheap-goods wholesale
market, and the vape stores are
of cash and an hour of haggling to buy booming.
everything you need to begin harming
consumers with an illicit market THC vape cart, a fake JUUL pod, or
something advertised as CBD.
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“If you sell $300,000 in [illicit vape] carts, you canʼt walk into a bank with
that. You have no stated business,” Hackett explains. “Third Street is an
easy place to go in with dirty cash, and come out with more supplies.”
Each storefront is dingy, poorly lit, and stocked with disheveled, half-open
cardboard boxes and sales racks. Big metal fans blow the hot air around,
while radios buzz loud scratchy music. Every item youʼd find in a head shop
or vape shop, youʼll find here wholesale—like some loud, chaotic vape
bazaar.
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Every type of vape cart, for wholesale in downtown LA. (David Downs/Leafly)
Walking in and out of the rows of wholesale vape supply stores, we posed
as aspiring vape pen makers, “just doing some pricing for our boss.”
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Itʼs an open question whether the carts sold here would pass Californiaʼs
tough adult-use cannabis testing standards. Since testing started on Jan. 1,
2019, labs have quarantined many vapes for too much lead—either because
of the lead in the metal itself, or because factories wash the finished
product in diesel fuel, which leaches lead into the carts.
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Honey Cut advertised for sale alongside empty carts in downtown LA. (David Downs/Leafly)
In addition to the low quality hardware, LAʼs Toy District vape wholesalers
sell the dangerous additives not approved for human inhalation— including
dubiously sourced terpene flavorings and hazardous diluent thickeners like
vitamin E oil. You can also purchase more traditional diluents like propylene
glycol, polyethylene glycol, and vegetable glycerin.
Among all the additives, thereʼs one that makes every vendor in the Toy
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After asking around, our local guide ‘Marcusʼ reported that “you wonʼt find
anyone down here selling it.” He said news reports have frightened it off the
shelves. “Theyʼre scared to sell it.”
Honey Cut swept through the Toy District in late 2018. The groundbreaking
product, produced by a mysterious company in Los Angeles, offered
manufacturers the ability to cut THC oil concentrations by 50% to 70%
without consumers noticing—because instead of thinning the viscosity of
the vape oil, it actually thickened it. (Consumers use oil thickness as a proxy
for purity.) Honey Cut is odorless, tasteless, and didnʼt make consumers
cough, so they could inhale it deep into their lungs. And it was cheap, too.
Why would manufacturers want to cut THC oil? The same reason theyʼd cut
any street drug: to make more money. Thanks to the math of cutting, a vape
cart maker could spend $50 to produce $4,800 in revenue. How? Hackett
explains:
Take a liter of bulk THC oil—itʼs pricey at $6,000. Now increase its volume
by 30% with vitamin E oil (300 ml for $50). As long as no one notices, you
now have 1,300 mls of THC oil worth $7,800, having spent just $50.
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Floraplex released Uber Thick— which two lab tests confirmed is vitamin E
oil. Mass Terpenes put out Pure Diluent—also vitamin E oil, New York
authorities said. And Mr Extractor of Oregon released Clear Cut—same
thing. Vitamin E oil use peaked this summer, right as the VAPI poisonings
ramped up. Vitamin E oil might be in 60-70% of street carts, insiders say.
We went to the The Terpene Lab at 330 E. 3rd St—the same place where
Mr Extractor founder Drew Jones filmed a YouTube video advertising Clear
Cut for use in heavy amounts, nationwide. The product name “Clear Cut”
still sits on printed menus at the bar. But when we ask the salesperson for
thickener, she asks a manager who quickly barks back, “No! We donʼt have
any! No!”
The makers of Honey Cut called every vendor in the Toy District after
Leaflyʼs Sept. 7 article, which named Honey Cut as a potential cause of the
injuries. The company told them to stop selling it: ‘Itʼs recalled. Itʼs not safe.ʼ
Honey Cutʼs website and ordering page disappeared.
Still, in the Toy District, one vendor offered to sell us thickener under the
table, outside of the store.
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At a store called Cali Kulture, we bought some of the last diluent thickener
overtly for sale in the Toy District. Itʼs called Peak Terpenes Thicc Stretch
and itʼs priced at $90 for 30 milliliters. The label says itʼs a secret mix of
fruit, nuts, and other plant oils, and thereʼs a nut allergy warning. Itʼs clear,
innocuous smelling, and viscous like honey.
“These products are great if you want to make beard oil,” says Arnaud
Dumas de Rauly, a vape hardware expert at The Blinc Group. “The vitamin E
oil acts as a preservative. Itʼs good for your skin. Itʼs not great for your
lungs.”
Furthermore, that nut allergy warning wonʼt get passed down by the person
who fills an illicit pen and sells it, De Rauly said. Just imagine what inhaling
peanut oil would do to someone with a nut allergy. It could kill them.
Right after we bought Thicc Stretch, Cali Kulture staff got spooked and
pulled the last of the red bottles off the shelf.
Knuckles.
“Hey, where did you get that shirt? Do you work for them? No? Good,
because if you did, I would have to throw you out.”
“We sell [counterfeits of] their bags,” she said, and smiled.
At a store called Cart Cartel, we were told they had sold out of Dank Vapes
boxes. Their next shipment was due in the following Tuesday. “Call us first,”
a salesman told us. “We always get the packages first around here.”
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Counterfeit packaging for sale in downtown Los Angeles. Supreme and Cookies are both
popular state-licensed brands, and illicit manufacturers copy their design changes as soon
as theyʼre made. (David Downs/Leafly)
At a smaller shop near Cali Kulture, we bought the exact Chronic Carts
Runtz strain packaging found on a VAPI victim in New York. The dealer sold
us 20 units for $2. His next-door neighbor took one of our team memberʼs
mobile phone number and now sends regular texts advertising new
products.
At the end of the day, hereʼs what we walked away with: five sample vape
carts; 1,000 units of fake-brand packaging with professional-looking
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designs and names like DANK and Chronic Vape—the same bogus brand
packages that public health officials have seized from VAPI patients injured
in New York and California; and perhaps most disturbingly, we bought 30
milliliters of chemical cutting agent—known as thickener—weeks after
Leafly identified them as a leading suspect in the lung injuries. These
cutting agents were never approved for inhalation, and can cause an allergic
or toxic lung reaction.
All of this hardware, chemicals, and packaging is technically legal until you
put an illegal drug into it. We spent a total of $210. We kept the receipts.
These THC oil labs then wholesale bulk distillate via online sites, or through
their own networks to “pen factories”—places that bring all these inputs
together.
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Law enforcement officials allege this pen factory in Wisconsin stocked tens of thousands of
fake-brand packages for illicit vape cartridges. (Courtesy of Kenosha County Sheriffʼs
Department)
Each pen factory might employ as many as a dozen workers at $10 to $20
an hour.
Though barely out of his teens, Tyler already had a reputation as something
of a business prodigy. The Kenosha News wrote a story about him in 2018
when the Central High School student ran his own online shoe company.
The headline was, “Who Wants To Be a Millionaire?”
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After graduation, law enforcement officials allege that Tyler pivoted from
sneakers to illegal THC vape cartridges. According to the Kenosha County
Sheriffʼs Office, the Huffhines brothers rented a condominium in Bristol and
invested in tens of thousands of empty vape cartridges and product
packaging.
In locations like the Huffhines brothersʼ Wisconsin condo, the cannabis oil
can come in a variety of containers. Tocopheryl-acetate (vitamin E oil) is
sold in volumes ranging from ounces to full metal drums. Workers cut the
THC oil with vitamin E oil or other unsafe thickeners, add in some flavoring
also not approved for inhalation, and syringe one milliliter of the mix into
each 1-gram vape cartridge.
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Chronic Carts, the same fake-brand packaging sold in the Los Angeles wholesale markets,
turned up in the Wisconsin pen factory. (Courtesy of Kenosha County Sheriffʼs Department)
Carts from their operation may have sent consumers to the hospital. In late
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The manʼs brother turned over a suspect vape cart and package to the
authorities. It was a Dank Vapes cartridge. That same week, Childrenʼs
Hospital in Milwaukee reported treating eight patients with severe lung
damage in the previous four weeks. The common thread: vaping street-
market THC cartridges.
In New York City, the illicit vape Illicit THC vape cart retailers operate coast
market flourishes because legal to coast—from the more than 2,800
products from medical
dispensaries are limited and unlicensed stores in California, to the fleets
expensive. of drug couriers pedaling the streets of
New York City, and plenty of local high
school dealers in between.
In New York City, the illicit vape cart market flourishes in part because
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That price gap has created a thriving illegal industry selling carts through
NYCʼs clandestine delivery services, at pop-up cannabis markets, and in
some corner bodegas.
Since the VAPI outbreak, New Yorkʼs illicit cannabis delivery services have
used the health scare to assure their customers that their own products are
clean. “Theyʼre tested,” one delivery specialist told Leafly. (We agreed to
not publish his name, for obvious legal reasons.) “Thereʼs no vitamin E
acetate.”
True? False? Nobody knows. His customers would have to take his word for
it, as there is no testing documentation nor any regulations requiring same.
“Some of my friends would buy oils from delis and stuff,” he added. “They
were really cheap. I knew those would be bad quality. Why the fuck would
you buy weed from your deli dude?”
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Once it made its way into New York Cityʼs sprawling illicit vape cart market,
a single tainted cartridge—or maybe several—made its way into Jon
Donesonʼs personal supply.
A stranger introduced him to vape pens early in 2019 like many Americans
have over the past year—at a party, randomly, when someone pulled one
out and offered it to him. As a naturally high-octane guy who had recently
plunged headlong into a start-up enterprise with his wife, he liked the idea
of having access to something that relaxed him.
Doneson declines to detail how he came to possess the vape pen and THC
cartridge that caused his illness, but it wasnʼt through the stateʼs licensed
medical marijuana system. “Iʼm not going to name places,” he says. “Iʼm not
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going to name people, but theyʼre more available than one might think,
okay? You know, itʼs easier to get that for a 15-, 16-year-old than a six-pack
of beer at the grocery store.”
It worked for him. Doneson typically took a pull six or eight times a day. The
THC vapor took the edge off in a way that left him fully functional and
without the smell of cannabis on his breath. “I liked it,” he says. “It really did
do the things they said itʼd do.
Until, of course, it almost killed him. Vitamin E oil is thought to block the
fluid lining of your lungs, like saran-wrapping them shut. The toxin kicks off
an aggressive immune response to clear the contaminant, and if that
response fails, runaway inflammation, fluid build-up, and cell damage
increases until the lungs fail.
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An abnormal lung immune cell (left) filled with oil, versus a healthy immune cell (right).
(Courtesy of Andrew Hansen MD, Jordan Valley Medical Center)
Doneson says that once he received the correct meds, his improved
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“I laid there literally for 10 minutes, trying to figure out, ‘Am I alive, dead?
Am I in hell, heaven? Where the hell am I?ʼ Then I realized, I started
laughing, I realized, ‘Wait a minute, not only am I alive, but I think I feel
better.ʼ”
When Donesonʼs vape pen cartridge was tested, the results came back
positive for formaldehyde, pesticides, vitamin E, and THC.
Nine people have died in this country from vape devices in the past few
months. Doneson came “very, very, very close to being number [ten],” he
says. North Shoreʼs Annamaria Iakovou, a pulmonary and critical care
physician, notes that over the past three months, her hospital has seen
more than a dozen cases involving patients with similar symptoms.
Lessons learned
At a certain point in this story, Leaflyʼs investigative team came to a dark
realization: Now that we have nationwide surveillance and reporting in
place, the CDCʼs numbers of the sick and dead arenʼt going to stop
climbing until everyone in the United States who wants a clean THC vape
cart can purchase one in a legal, licensed, and regulated store.
Alcohol prohibitionʼs end solved bathtub gin poisonings. But weʼre still a
ways away from the end of cannabis prohibition in the US. In a best case
scenario, this VAPI outbreak could spur progress, and not retreat, because
the facts are clear:
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the supply chain. Adult-use states have proven far more immune to this
outbreak than prohibition states. Of the 530 confirmed and suspected
cases, one is potentially linked to a licensed store, in Oregon, and five
in Washington.
Most state cannabis regulators have recalled problematic products in
the past. Over the last 18 months, California has quarantined more than
5,639 licensed cannabis batches for issues including labeling problems
(2,379 batches), pesticides (1,585), residual solvents (339), and heavy
metals (393). After VAPI news broke, regulators immediately moved to
tighten ingredients disclosure requirements in Massachusetts. Oregon
regulators told stores to pull suspicious products. Those measures are
possible because regulation exists. The street market canʼt do that,
and wonʼt.
Jonathan Caulkins, a drug policy researcher at RAND, added: “If vapes are
going to be allowed, then stronger testing, oversight, and regulations are
needed, which presumably includes being tougher on violators, either with
government action and/or with product liability lawsuits.”
President Obama and President Trump have both allowed states to legalize,
one by one. Most 2020 presidential candidates support some form of
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For legal, state-licensed companies, the VAPI health crisis has acted as a
wakeup call. They must beef up their anti-counterfeiting technology and
education programs. Theyʼre distancing themselves from additives and
thickeners—which must disappear from all legal products, immediately.
In the legal markets, vape sales were down 15% in early September off the
three-month average. Oregon in particular saw a staggering 65% drop in
pen sales.
To Jon Doneson, now recovering at home on Long Island, the lesson of all
this is clear: Until the United States begins to regulate the market for these
products, avoid using them. He worries that even legitimate dispensaries
might sell cartridges cut with toxic substances, either unknowingly or as a
way of pumping up profits.
“Get rid of all your THC pens,” he says. “Thatʼs it. You donʼt know. Itʼs
Russian roulette. You donʼt know if itʼs a good one or a bad one. So, why
take the risk?”
“Iʼm sure the Chinese are putting a lot of product into American hands. A lot
of bootlegs are coming in from out of the country. Wherever thereʼs money
to be made, people are going to do what they can.”
https://www.leafly.ca/news/politics/vape-pen-injury-supply-cha…IwAR2Zw5QXrU53wuWSLdiBp2_HN_waR0apUXylOCT_C968OJDfUepz31WPqLI Page 30 of 31
Journey of a Tainted Vape Cartridge: A Leafly Investigation 2019-11-23, 10)42 PM
Leafly Senior Editor Bruce Barcott oversees the site's news coverage and
feature investigations. He is the author of 'Weed the People: The Future of
Legal Marijuana in America,' and has written for Time, Rolling Stone, the
New York Times Magazine, National Geographic, and other national
publications.
https://www.leafly.ca/news/politics/vape-pen-injury-supply-cha…IwAR2Zw5QXrU53wuWSLdiBp2_HN_waR0apUXylOCT_C968OJDfUepz31WPqLI Page 31 of 31