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The image is used as a meme in its own right, as well as being inserted in other formats as a punch line

Originally referred to as VAPI (vaping associated pulmonary illness), the name was updated in 2019 to better reflect the growing number of cases linked to vaping

The pods come prefilled with e-liquid that has been specifically designed to work with the IQOS VEEV vaping device

The brand has faced scrutiny from attorneys general in multiple states regarding health claims, and regulators have required disclosure that additive-free tobacco is no safer than other tobacco products