Im 16 i tried my first ciggerette two days ago

Patient: Im 16 i tried my first ciggerette two days ago and ever since ive been feeling very paranoied i dont want to talk to other people when im put in situatuations where i have to i become shaky and feel sick . Could this be affects after the ciggerette i had ?

Symptoms: Paranoid , sick feeling , hot flashes , shaky

Doctor: