Two new ASH Wales/YouGov reports provide fresh evidence on tobacco and vape regulation and smoking-related inequalities in social housing in Wales.
Information / Vaping side effects
Vaping side effects & health effects
Vaping is significantly less harmful than smoking, but it is not risk-free. Some people notice short-term side effects, and the long-term health effects are still being studied.
Last reviewed: 27th September 2026
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Common side effects are usually mild and manageable.
NHS guidance lists common side effects including coughing, dry mouth or throat, mouth and throat irritation, shortness of breath and headaches. This is a list of possible effects, not an estimate of how common each symptom is in Wales. There is no robust current national Welsh estimate for the proportion of adult vapers experiencing each side effect.
If vaping is helping an adult stop smoking, side effects should be discussed before abandoning vaping and returning to cigarettes.
Common side effects
Coughing
Some people cough when they start vaping or change device, liquid or nicotine strength.
Dry mouth or throat
Dryness and irritation can happen, particularly with frequent use.
Shortness of breath
Some people report breathlessness. New, severe or persistent breathing symptoms should not simply be assumed to be caused by vaping.
Headaches
Headaches can occur and may be affected by nicotine strength, frequency of use or dehydration.
Does vaping damage the lungs?
Vape aerosol is not harmless and can irritate the airways. However, the current evidence shows that people who vape are exposed to much lower levels of harmful substances than people who smoke.
The long-term health effects of vaping are not yet fully known because vaping has not been used for as many decades as cigarettes. Current evidence still indicates that vaping is significantly less harmful than smoking, particularly for adults who switch completely away from cigarettes.
What about cancer and heart disease?
Smoking exposes people to a large number of toxic chemicals created by burning tobacco. Vaping avoids combustion, which is why exposure to harmful substances linked with cancer, respiratory disease and cardiovascular disease is much lower than with smoking.
That does not mean the long-term risk from vaping is zero. The evidence continues to be monitored as products and patterns of use change.
If you smoke and vape
The biggest health benefit comes from stopping cigarettes completely. Continuing to smoke while vaping still exposes you to the serious harms of tobacco smoke.
If vaping is part of your quit attempt, do not let manageable side effects push you back to cigarettes. A stop-smoking adviser or reputable specialist retailer may be able to help with nicotine strength, device choice or how you vape.
Vaping to quit smoking
How vaping can fit into an adult quit attempt and why complete switching matters.
How to quit vaping
If you no longer smoke and want to stop vaping, see practical options for cutting down or quitting.
Nicotine withdrawal
What cravings and withdrawal can feel like when nicotine use changes.
When to get medical advice
Seek medical advice if symptoms are severe, persistent or worrying, or if you are not sure whether vaping is the cause. Urgent symptoms such as severe breathing difficulty, collapse or severe chest pain need urgent medical assessment.
If you are concerned that a vape may be illegal, has been sold illegally, or you have concerns about a shop, seller or online account, report it anonymously through No Ifs. No Butts. You do not need proof, and you should not investigate or confront a seller yourself.
If you think a vape has caused a side effect or product safety problem, you can report it through the UK Yellow Card scheme.
Young people
Children and young people should not vape. The main concerns include nicotine dependence, repeated use and exposure to substances they do not need. School and family responses should be accurate about risk: vaping is not harmless, but presenting it as equally harmful as smoking is not supported by the evidence.
Sources & further reading
NHS
Common vaping side effects and advice for people using a vape to quit smoking.
MHRA
How to report suspected side effects or safety concerns with medicines and vaping products.





