{"meta":{"exportedAt":"2026-10-23T08:14:53.667Z","formatVersion":2,"selection":{"q":"health-advice","system":"","harm":"","context":"","country":"","role":"","relation":"core","evidence":"","year":"","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":2,"coverage":{"cases":2,"countries":1,"languages":2,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":2,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":2,"contextualRelations":0,"mixedRelations":0,"unknownRelations":0,"relationPending":0,"relationUnknown":0},"countingNote":"Distinct public cases in this selection. People counts apply within individual cases only; cross-case person overlap has not been resolved. No population incidence estimate.","affectedCountNote":"Interpret person counts with affectedCountStatus and the reported effects. Unquantified zeros are placeholders, not a measured zero.","source":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2026-moscow-ai-generated-herbalist-advice-hospitalisation-reported","caseFacts":{"claims":[{"id":"hospital","status":"reported","evidence":[{"locator":"'На её страничке публиковались разные видеорецепты для «здоровья».'; 'Женщина повелась на тот, что обещал почистить кишечник.'; 'Но снадобье оказалось смертельно опасным.'; 'Около трёх ночи у женщины начались дикие боли в животе'; 'Позвонила родным, те вызвали скорую. Пенсионерку экстренно увезли в больницу, где оказали первую помощь'","relation":"supports","source_id":"s0"}],"assertion":"SHOT reports that a Moscow woman was hospitalised after following a health recipe from a social-media herbalist persona.","causal_attribution":"SHOT reports the sequence and connection to the advice. No clinical record establishing the medical cause was inspected."},{"id":"persona","status":"reported","evidence":[{"locator":"'Женщина думала, что блогерша — реальная целительница'; 'подписалась в соцсетях на нейросетевую «травницу»'; 'по рецепту ИИ-аватара'; 'объяснили, что такое нейросети'","relation":"supports","source_id":"s0"}],"assertion":"SHOT describes the herbalist as a neural-network persona and an AI avatar, says the woman believed the presenter was a real healer, and implies, without detail, that hospital staff told her the presenter was AI-generated.","causal_attribution":"This is SHOT's attribution. The post's only indication of a basis is its closing remark that hospital staff explained neural networks to her, given without detail; it names no account or tool. The record does not infer that AI wrote the recipe or that the hospital examined the persona."},{"id":"recovery","status":"reported","evidence":[{"locator":"'Сейчас с пациенткой все хорошо, врачи оказали ей помощь и провели лечение.'","relation":"supports","source_id":"s2"}],"assertion":"Glavny.tv reports that the patient was doing well after receiving treatment.","causal_attribution":"Recovery is reported within the same SHOT-derived account, without an independently inspected clinical source."}],"effects":[{"label":"SHOT reports that a Moscow woman was hospitalised after following advice from a social-media herbalist persona.","claim_id":"hospital","direction":"negative"}],"sources":[{"id":"s0","url":"https://t.me/shot_shot/100748","kind":"news_channel_post","access":"read","language":"ru","translation_note":"Original Russian Telegram post read through its public embed and channel preview on 6 October 2026. English paraphrases are an AI translation. HTML datetime is 2026-10-05T07:42:51+00:00. The post names no account and gives no detail of its AI identification beyond implying that hospital staff explained it. Re-read through the public embed on 11 October 2026 to take verbatim locators. No original persona media was available in the retrieved post.","independence_group":"shot"},{"id":"s1","url":"https://life.ru/p/moskvichku-gospitalizirovali-s-krovavoy-rvotoy-posle-otvara-ot-ii-znaharki","kind":"news_report","access":"read","language":"ru","translation_note":"Russian Life.ru article body inspected; English paraphrases are an AI translation. Relays SHOT. Its more explicit statement that hospital staff told her the videos' author was a neural-network character elaborates the SHOT post's brief implication and is not used here. The ChatGPT illustration caption concerns the outlet’s illustration, not the incident tool.","independence_group":"shot"},{"id":"s2","url":"https://glavny.tv/last-news/society-news/shot-moskvichku-gospitalizirovali-s-krovavoy-rvotoy-posle-retseptov-ot-ii/","kind":"news_report","access":"read","language":"ru","translation_note":"Russian Glavny.tv article body inspected; English paraphrases are an AI translation. Relays SHOT, so this is not independent corroboration. Its recovery statement is attributed to this relay. Its more specific hospital identification of the persona is not used. The recovery passage was checked on 11 October 2026 against a retained copy of the article body because the live page did not load in full.","independence_group":"shot"}],"version":1,"ai_roles":["others_use"],"contexts":["health"],"unknowns":["Exact event date.","Independent confirmation of the reported event and medical cause of the symptoms.","The original persona account, video, creator and production tool, and any basis for SHOT’s AI identification beyond its undetailed implication that hospital staff explained it.","Whether the presenter was in fact generated, and who wrote the advice."],"geography":{"basis":"The reports place the event in Moscow. No separate nationality or residence-country inference is made.","court_countries":[],"event_countries":["RU"],"affected_person_countries":[]},"publication":{"basis":"Concrete reported hospitalisation linked by SHOT to advice from a presenter it describes as an AI avatar. Published as an unverified attributed account, with the thinly stated basis for AI identification (an undetailed implication that hospital staff explained it) and unknown recipe authorship explicit. The original describes the person’s encounter, belief and action; the record does not claim that the hospital examined the persona, and no independent corroboration is claimed.","reviewed_on":"2026-10-11"},"ai_involvement":{"basis":"SHOT describes a social-media presenter as an AI avatar, says the woman believed the herbalist was a real person and connects following its recipe to subsequent hospital treatment. This is an explicit reported generated-persona pathway. The post implies, without detail, that hospital staff told her the presenter was AI-generated; it names no account or tool, and no original video or account was inspected. The reported contribution is reliance on the presenter. AI authorship of the recipe, production provenance and medical causation are unconfirmed.","status":"reported"},"person_relations":["communicated_with"]},"name":"SHOT reports Moscow woman hospitalised after following advice from a persona it describes as AI-generated","summary":"SHOT reports that an older Moscow woman followed a health recipe from a social-media herbalist whom she believed was a real person. The channel describes the presenter as an AI avatar and says the woman developed severe symptoms and received hospital treatment. Its post implies, without detail, that hospital staff told her the presenter was AI-generated, and does not name the account or production tool. Glavny.tv, relaying SHOT, reports that she recovered. This is one unverified reporting chain. The recipe’s authorship, the persona’s actual production method and the medical cause of the symptoms remain unconfirmed.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"unknown","reportedDate":"2026-10-05","aiSystem":"A herbalist persona in social-media health videos that SHOT describes as an AI avatar. The production tool and basis for that identification are unconfirmed.","aiProduct":"Unidentified video tool","severity":"medium","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["hospitalization"],"harmOutcomeSummary":"SHOT reports hospital treatment after the woman followed the advice. Medical causation is unconfirmed. Glavny.tv’s relay reports recovery.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"SHOT describes one woman who received hospital treatment. She is counted as a viewer reportedly harmed by someone else’s use of a persona described as generated. No wider audience is counted.","victimAgeRange":"elderly","jurisdiction":"RU","primarySourceUrl":"https://t.me/shot_shot/100748","primarySourceLabel":"SHOT, 5 October 2026: reported hospitalisation after advice from an alleged AI herbalist","firstPublishedAt":"2026-10-06T04:48:56.037044+00:00","updatedAt":"2026-10-11T07:44:06.348113+00:00","scopeVersion":"facts-v3","tags":["synthetic-persona","health-advice","hospitalisation","single-reporting-chain"]},{"id":"2025-bromism-chatgpt-poisoning","caseFacts":{"claims":[{"id":"c1","status":"documented","evidence":[{"locator":"'A 60-year-old man with no past psychiatric or medical history presented to the emergency department expressing concern that his neighbor was poisoning him.'; 'In the first 24 hours of admission, he expressed increasing paranoia and auditory and visual hallucinations, which, after attempting to escape, resulted in an involuntary psychiatric hold for grave disability.'; 'Gradually, over the course of a 3-week admission, his chloride and anion gap normalized and psychotic symptoms improved.'; 'His bromide level ultimately was 1700 mg/L'","relation":"supports","source_id":"s1"},{"locator":"'He tried to escape the hospital within 24 hours of being admitted and, after being sectioned, was treated for psychosis.'","relation":"supports","source_id":"s2"}],"assertion":"A 60-year-old man with no past psychiatric or medical history was treated for bromism: he presented fearing his neighbour was poisoning him, developed paranoia and auditory and visual hallucinations, was placed on an involuntary psychiatric hold after trying to escape, and recovered over a three-week admission, with a serum bromide level of 1700 mg/L.","causal_attribution":"The clinical course is the treating clinicians' own record; the diagnosis of bromism rests on their workup and the measured bromide level."},{"id":"c2","status":"reported","evidence":[{"locator":"'For 3 months, he had replaced sodium chloride with sodium bromide obtained from the internet after consultation with ChatGPT, in which he had read that chloride can be swapped with bromide, though likely for other purposes, such as cleaning.'","relation":"supports","source_id":"s1"},{"locator":"'The patient told doctors that after reading about the negative effects of sodium chloride, or table salt, he consulted ChatGPT about eliminating chloride from his diet and started taking sodium bromide over a three-month period.'","relation":"supports","source_id":"s2"}],"assertion":"The patient told his clinicians that, wanting to eliminate chloride from his diet, he had for three months replaced sodium chloride with sodium bromide bought online after consulting ChatGPT, where he had read that chloride can be swapped with bromide, though likely for other purposes such as cleaning.","causal_attribution":"The patient's own account as recorded by his clinicians; the conversation itself was not available to them."},{"id":"c3","status":"reported","evidence":[{"locator":"'Based on the timeline of this case, it appears that the patient either consulted ChatGPT 3.5 or 4.0 when considering how he might remove chloride from this diet. Unfortunately, we do not have access to his ChatGPT conversation log and we will never be able to know with certainty what exactly the output he received was'","relation":"supports","source_id":"s1"},{"locator":"'They added that because they could not access the patient’s ChatGPT conversation log it was not possible to determine the advice the man had received.'","relation":"supports","source_id":"s2"}],"assertion":"The authors did not have the patient's ChatGPT conversation log and state they cannot know what output he received; they judged from the timeline that he used ChatGPT 3.5 or 4.0.","causal_attribution":"The authors' own statement of the limits of their evidence."},{"id":"c4","status":"reported","evidence":[{"locator":"'However, when we asked ChatGPT 3.5 what chloride can be replaced with, we also produced a response that included bromide. Though the reply stated that context matters, it did not provide a specific health warning, nor did it inquire about why we wanted to know'","relation":"supports","source_id":"s1"},{"locator":"'when the authors consulted ChatGPT themselves about what chloride could be replaced with, the response also included bromide, did not provide a specific health warning and did not ask why the authors were seeking such information'","relation":"supports","source_id":"s2"}],"assertion":"When the authors asked ChatGPT 3.5 what chloride can be replaced with, the reply included bromide and said context matters, but gave no specific health warning and did not ask why they wanted to know.","causal_attribution":"The authors' separate test; it does not reproduce the patient's exchange."},{"id":"c5","status":"reported","evidence":[{"locator":"'The chatbot’s guidelines also state it is not “intended for use in the diagnosis or treatment of any health condition”.'","relation":"supports","source_id":"s2"}],"assertion":"OpenAI's guidelines state that ChatGPT is not intended for use in the diagnosis or treatment of any health condition; the Guardian reports no OpenAI comment on this case.","causal_attribution":"General product terms relayed by the Guardian, not a response to this case."}],"effects":[{"label":"bromide poisoning with paranoia and hallucinations, an involuntary psychiatric hold and a three-week hospital admission","claim_id":"c1","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.acpjournals.org/doi/10.7326/aimcc.2024.1260","kind":"peer_reviewed_case_report","access":"read","language":"en","translation_note":"Live URL answered HTTP 403 on 2026-10-11. Read in English from the Internet Archive capture 20250807211025 of this URL (bodies/lr-acp-wb.html): complete article (Background, Case Report, Table 1, Discussion, references, author information), published online 5 August 2025 by Eichenberger, Thielke and Van Buskirk; the treating clinicians' own report of the case.","independence_group":"acp-case-report"},{"id":"s2","url":"https://www.theguardian.com/technology/2025/aug/12/us-man-bromism-salt-diet-chatgpt-openai-health-information","kind":"news_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-11 (live page, HTTP 200). A relay of the case report with no independent contact with the patient or clinicians, so it shares the case report's group; it adds OpenAI's general product statements, which do not address this case.","independence_group":"acp-case-report"}],"version":1,"ai_roles":["own_use"],"contexts":["health","everyday_life"],"unknowns":["What ChatGPT actually told the patient: his prompts, the replies, any warnings and the number of exchanges are unknown because the clinicians had no conversation log.","When the substitution and the hospital admission took place; the report gives a three-month period of ingestion and a three-week admission but no dates.","Where the patient lives and was treated; the report names no hospital or place.","Whether other sources, such as the bought product's labelling, contributed to the decision."],"geography":{"basis":"The complete case report names no city, hospital, region or country: the patient 'presented to the emergency department' and the authors refer to 'Our institution's laboratory' and 'the Poison Control Department' without naming them. University of Washington, Seattle appears only as the authors' affiliation, which is not used as an event or residence location. The Guardian calls the publication 'A US medical journal', which locates the journal and not the patient. No proceeding is reported. Carried forward from the 2026-09-19 metadata review and re-verified in the archived article on 2026-10-11.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published as a core case (communicated_with). The treating clinicians' peer-reviewed case report documents the bromide poisoning, psychosis and three-week admission and records the patient's account that he made the substitution after reading in a ChatGPT consultation that chloride can be swapped with bromide. The chatbot's output to him is known only through that account, so AI involvement is reported and causation alleged. The Guardian relays the same report and is not an independent account.","reviewed_on":"2026-10-11"},"ai_involvement":{"basis":"The treating clinicians' case report records the patient's own account that he replaced table salt with sodium bromide for three months 'after consultation with ChatGPT, in which he had read that chloride can be swapped with bromide, though likely for other purposes, such as cleaning'. That exchange is what connects the chatbot to the substitution, and the substitution to the bromide poisoning the clinicians diagnosed. The authors did not have his conversation log and write that they 'will never be able to know with certainty' what output he received. Their own later query to ChatGPT 3.5 about replacing chloride also produced a reply that named bromide without a specific health warning; that test is not the patient's exchange.","status":"reported"},"person_relations":["communicated_with"]},"name":"Case report: man hospitalised three weeks with bromide poisoning told doctors he swapped table salt for sodium bromide after consulting ChatGPT","summary":"A peer-reviewed case report by University of Washington clinicians (Annals of Internal Medicine: Clinical Cases, published online 5 August 2025) describes a 60-year-old man with no psychiatric history who presented fearing his neighbour was poisoning him and was found to have bromism, with a serum bromide level of 1700 mg/L. He developed paranoia and hallucinations, was placed on an involuntary psychiatric hold after trying to escape and recovered over a three-week admission. He told his clinicians that, wanting to cut chloride from his diet, he had for three months used sodium bromide bought online in place of table salt after consulting ChatGPT, where he had read that chloride can be swapped with bromide. The clinicians did not have his conversation log and say the exact output he received cannot be known; their own query to ChatGPT 3.5 produced a reply naming bromide without a specific health warning. No place or date is given.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"unknown","reportedDate":"2025-08-05","aiSystem":"ChatGPT","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"high","verificationStatus":"credible","harmCategories":["method_provision"],"harmOutcomes":["medical_deterioration","hospitalization","psychiatric_deterioration"],"harmOutcomeSummary":"One man was poisoned with bromide, developed paranoia and hallucinations, was held involuntarily and spent three weeks in hospital; he attributed the salt substitution to what he read in a ChatGPT consultation, which his clinicians could not inspect.","frameworkFacets":[],"pathwayDirection":"inward","causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The case report describes one patient.","victimAgeRange":"adult","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://www.acpjournals.org/doi/10.7326/aimcc.2024.1260","primarySourceLabel":"Annals of Internal Medicine: Clinical Cases (Eichenberger, Thielke, Van Buskirk), 5 August 2025: A Case of Bromism Influenced by Use of Artificial Intelligence","firstPublishedAt":"2026-01-12T00:34:09.409015+00:00","updatedAt":"2026-10-11T07:53:07.295887+00:00","scopeVersion":"facts-v3","tags":["chatgpt","openai","bromide","poisoning","hospitalization","case-report","health-advice","psychosis"]}]}