[1] Smith represented the United States in the women's 100 metre freestyle S3 event and won a silver medal at the 2020 Summer Paralympics.
[2] On April 14, 2022, Smith was named to the roster to represent the United States at the 2022 World Para Swimming Championships.
As a result, she spent several weeks in the hospital with a partially collapsed lung, including time in the intensive care unit.
[5] After extensive rehab on April 29, 2023, Smith was named to the roster to represent the United States at the 2023 World Para Swimming Championships.
[6] In 2012 Smith was diagnosed with dystonia, a progressive disease which affects all four of her limbs, her vocal cords and her trunk.