A 15-year-old student in Malaysia was hospitalized after vaping a product labeled as having a magic mushroom flavor. Testing revealed the vape actually contained MDMB-4en-PINACA, a highly potent synthetic cannabinoid that is 100-200 times stronger than natural cannabis. This case highlights the danger of unregulated vaping products being mixed with illegal substances that can cause serious health effects including seizures, heart problems, and organ damage. Doctors and the public need to be aware of these hidden threats in vaping products.