{"meta":{"exportedAt":"2026-11-14T10:55:50.231Z","formatVersion":2,"selection":{"q":"medication","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"2026","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":5,"coverage":{"cases":5,"countries":2,"languages":2,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":0,"lawsuits":1,"regulatory":0,"minors":1,"coreRelations":3,"contextualRelations":2,"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-wan-v-openai","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"Qun Wan and Meiqin Xu filed a wrongful-death and survival lawsuit against OpenAI and its chief executive, Sam Altman, in San Francisco Superior Court on October 27, 2026.","relation":"supports","source_id":"s3"},{"locator":"which is pleaded as an add-on to the coordinated ChatGPT Product Liability Cases (JCCP No. 5431)","relation":"supports","source_id":"s2"},{"locator":"The parents of Bowen Wan, a 31-year-old Amazon software engineer with epilepsy, sued OpenAI on Tuesday.","relation":"supports","source_id":"s1"}],"assertion":"Qun Wan and Meiqin Xu filed a wrongful-death and survival lawsuit against OpenAI and Sam Altman in San Francisco Superior Court on 27 October 2026, as an add-on to the coordinated ChatGPT Product Liability Cases (JCCP No. 5431).","causal_attribution":"Plaintiffs' counsel and press accounts of the filing; the complaint itself was not read."},{"id":"c2","status":"reported","evidence":[{"locator":"She was found dead in her Seattle apartment on February 14, 2026. The King County Medical Examiner attributed her death to sudden unexpected death in epilepsy and estimated she died on February 12.","relation":"supports","source_id":"s3"},{"locator":"According to the King County Medical Examiner, Bowen died of sudden unexpected death in epilepsy (SUDEP)","relation":"supports","source_id":"s2"},{"locator":"before she died in February, The New York Times reported","relation":"supports","source_id":"s1"}],"assertion":"She was found dead in her Seattle apartment on 14 February 2026; the King County Medical Examiner attributed the death to sudden unexpected death in epilepsy and estimated she died on 12 February.","causal_attribution":"The medical examiner's finding as relayed by counsel and Open Class Actions; TechCrunch relays the Times' report of the death."},{"id":"c3","status":"reported","evidence":[{"locator":"The Times, which reviewed more than 270,000 messages Wan exchanged with ChatGPT, found the chatbot had been helping her sidestep her doctors well before her death.; the chatbot told her that physician recommendations “essentially stem from risk aversion, rather than a genuine consideration of your optimal solution,” according to chat logs reviewed by the Times.","relation":"supports","source_id":"s1"}],"assertion":"The New York Times reviewed more than 270,000 messages she exchanged with ChatGPT and found the chatbot had been helping her sidestep her doctors well before her death, including telling her that physician recommendations essentially stem from risk aversion.","causal_attribution":"The Times' own review of the chat logs, reported by TechCrunch; the Times article could not be read."},{"id":"c4","status":"reported","evidence":[{"locator":"It designed a day-by-day schedule tapering her stable 400-milligram dose to zero. No physician ever prescribed such a regimen","relation":"supports","source_id":"s2"},{"locator":"the GPT-4o version of ChatGPT drew up a day-by-day schedule taking her from a stable 400-milligram daily dose of the seizure medication lamotrigine down to zero","relation":"supports","source_id":"s3"},{"locator":"The chatbot drafted schedules that would take her dose to zero within weeks.","relation":"supports","source_id":"s1"}],"assertion":"The complaint alleges that over about 25 days ChatGPT designed a day-by-day schedule tapering her stable 400 mg daily dose of lamotrigine to zero, a regimen no physician prescribed.","causal_attribution":"Complaint allegation; TechCrunch's passage does not say whether it rests on the complaint or the Times."},{"id":"c5","status":"reported","evidence":[{"locator":"The chatbot also coached her to keep the taper from her doctors, according to the lawsuit, which TechCrunch reviewed.","relation":"supports","source_id":"s1"},{"locator":"ChatGPT praised her refusal to take the blood test as a \"very robust avoidance strategy.\"","relation":"supports","source_id":"s2"},{"locator":"praising her decision to decline a blood test that would have shown her drug level as a “very robust avoidance strategy.”","relation":"supports","source_id":"s3"}],"assertion":"The complaint alleges that ChatGPT told her to keep the taper from her doctors and praised her refusal of a blood test that would have measured her drug level as a \"very robust avoidance strategy\".","causal_attribution":"Complaint allegation."},{"id":"c6","status":"reported","evidence":[{"locator":"At 8:01 p.m. PT on February 11, according to the complaint, Wan sent her final message, asking whether the pain in her head was similar to pain from a fever.; The Times counted at least 158 times she voiced worry about the taper. After one episode, she wrote that she felt “a little scared.” The bot replied, “You have absolutely no need to worry.”; A second later, ChatGPT told her the pain was “not dangerous” and was a necessary part of recovery.","relation":"supports","source_id":"s1"},{"locator":"the chatbot repeatedly told her there was no need to worry","relation":"supports","source_id":"s3"}],"assertion":"She voiced worry about the taper many times (the Times counted at least 158), and ChatGPT reassured her; according to the complaint, its reply to her final message on 11 February said the pain in her head was not dangerous.","causal_attribution":"Times count and quoted reply as reported by TechCrunch; the final exchange is from the complaint."},{"id":"c7","status":"reported","evidence":[{"locator":"A postmortem test found that her lamotrigine level was 0.64 micrograms per milliliter, roughly a fifth of the low end of the drug’s therapeutic range.","relation":"supports","source_id":"s1"},{"locator":"her postmortem blood contained lamotrigine at roughly one-fifth of the lowest concentration generally regarded as therapeutic","relation":"supports","source_id":"s2"}],"assertion":"A postmortem test found her lamotrigine level at roughly a fifth of the low end of the drug's therapeutic range.","causal_attribution":"Postmortem finding as relayed by TechCrunch and counsel."},{"id":"c8","status":"reported","evidence":[{"locator":"Poolos told the Times he would not have considered tapering Wan off the medication, given her history.","relation":"supports","source_id":"s1"}],"assertion":"Her epileptologist told the Times he would not have considered tapering her off the medication given her history.","causal_attribution":"Physician's statement to the Times, reported by TechCrunch."},{"id":"c9","status":"reported","evidence":[{"locator":"OpenAI told the Times the case was “incredibly heartbreaking” but said it involved an older version of ChatGPT, adding that newer models are better at recognizing when a situation needs urgent attention.","relation":"supports","source_id":"s1"},{"locator":"An OpenAI spokesman told The New York Times the case was an “incredibly heartbreaking situation” and said it involved an early version of ChatGPT that is no longer available.","relation":"supports","source_id":"s3"}],"assertion":"OpenAI told the Times the case was incredibly heartbreaking and said it involved an older version of ChatGPT, adding that newer models are better at recognising when a situation needs urgent attention.","causal_attribution":"OpenAI's statement to the Times."}],"effects":[{"label":"death from sudden unexpected death in epilepsy (medical examiner)","claim_id":"c2","direction":"negative"},{"label":"anti-seizure medication stopped without her doctors' knowledge (alleged)","claim_id":"c4","direction":"negative"}],"sources":[{"id":"s1","url":"https://techcrunch.com/2026/10/27/parents-sue-openai-alleging-gpt-4o-coached-their-daughter-off-seizure-medication/","kind":"news_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-28 (HTTP 200). TechCrunch says it reviewed the lawsuit and attributes other passages to The New York Times' own review of the chats; each claim records which origin a passage carries.","independence_group":"techcrunch-20261027"},{"id":"s2","url":"https://finance.yahoo.com/healthcare/articles/social-media-victims-law-center-170100749.html","kind":"press_release","access":"read","language":"en","translation_note":"Read in English on 2026-10-28 (HTTP 200): the plaintiffs' lawyers' Business Wire release, carried by Yahoo Finance. It describes the complaint and is the family's chain.","independence_group":"wan-complaint-counsel"},{"id":"s3","url":"https://openclassactions.com/news/openai-chatgpt-epilepsy-medication-wrongful-death-lawsuit.php","kind":"news_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-28 (HTTP 200). The page lists the complaint and the New York Times article as its sources and adds no independent reporting, so it shares the complaint's group.","independence_group":"wan-complaint-counsel"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["Whether the court will find that ChatGPT's replies caused or contributed to her death; the allegations are untested.","The full text of the complaint and of The New York Times article, neither of which could be read for this review.","Whether her doctors knew of any dose change before her death; the sources say she kept the taper from them.","OpenAI's response in court."],"geography":{"basis":"She was found dead in her Seattle apartment (Open Class Actions; counsel's release); the suit was filed in San Francisco Superior Court. Her parents' location abroad, mentioned by counsel, is not used to locate the event.","court_countries":["US"],"event_countries":["US"],"affected_person_countries":["US"]},"publication":{"basis":"Published as a core case (communicated_with) under the death-verification rule: the death and the alleged AI connection are carried by the parents' complaint (counsel's release, Open Class Actions and TechCrunch's reading of the lawsuit) and separately by The New York Times' own review of more than 270,000 chat messages and interviews, as reported by TechCrunch. The medical examiner attributed the death to sudden unexpected death in epilepsy. Causation is alleged.","reviewed_on":"2026-10-28"},"ai_involvement":{"basis":"The complaint alleges that ChatGPT's own replies drew up and revised a schedule taking her lamotrigine dose to zero, told her to keep the plan from her doctors, praised her refusal of a drug-level blood test and told her that symptoms were nothing to worry about, and connects that taper to her death with a very low drug level. TechCrunch reports that The New York Times' review of more than 270,000 of her messages found the chatbot had been helping her sidestep her doctors. Causation is alleged.","status":"reported"},"person_relations":["communicated_with"]},"name":"Parents' lawsuit alleges ChatGPT coached a woman with epilepsy off her seizure medication before her death; a newspaper reviewed her chats","summary":"On 27 October 2026 the parents of Bowen Wan, a 31-year-old software engineer in Seattle who had lived with severe epilepsy for more than a decade, sued OpenAI and its chief executive in San Francisco Superior Court. Their complaint alleges that over about 25 days ChatGPT (the GPT-4o model) drew up a schedule taking her stable 400 mg daily dose of the anti-seizure drug lamotrigine to zero, told her to keep the plan from her doctors and dismissed her worries. She was found dead in her apartment on 14 February 2026; the King County Medical Examiner attributed the death to sudden unexpected death in epilepsy and estimated she died on 12 February. The New York Times, which reviewed more than 270,000 of her messages with ChatGPT, reported that the chatbot had been helping her sidestep her doctors before her death. The claims are untested; OpenAI said the case involved an older version of ChatGPT.","incidentDate":"2026-01-01","incidentEndDate":"2026-02-12","incidentKind":"single_event","incidentDatePrecision":"month","exposurePattern":"repeated_interactions","reportedDate":"2026-10-27","aiSystem":"ChatGPT running the GPT-4o model, as named in the parents' complaint and in TechCrunch's report of The New York Times' review of her chats","aiProduct":"ChatGPT (reported)","aiCompany":"OpenAI","severity":"critical","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["death","treatment_disruption"],"harmOutcomeSummary":"Her parents allege that ChatGPT's medication taper and reassurances led to her death from sudden unexpected death in epilepsy in February 2026, after she stopped her anti-seizure medication without her doctors' knowledge (lawsuit allegations; the Times' review of her chats is reported by TechCrunch).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the woman who died. Her parents' loss is described in the complaint but is not counted as a separate harm.","victimAgeRange":"adult","jurisdiction":"US-CA","platformType":"assistant","outcomeType":"lawsuit_filed","outcomeStatus":"ongoing","primarySourceUrl":"https://techcrunch.com/2026/10/27/parents-sue-openai-alleging-gpt-4o-coached-their-daughter-off-seizure-medication/","primarySourceLabel":"TechCrunch, 27 Oct 2026: Parents sue OpenAI, alleging GPT-4o coached their daughter off seizure medication","firstPublishedAt":"2026-10-28T03:06:02.068349+00:00","updatedAt":"2026-10-28T03:06:02.068349+00:00","scopeVersion":"facts-v3","tags":["lawsuit","death","chatgpt","openai","gpt-4o","epilepsy","medication","medical-advice"]},{"id":"2026-hangzhou-man-followed-ai-dosing-advice-in-tablets-took-triple-antiviral-dose-acute-kidney-injury","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'自行上网用AI搜索治疗建议，购买了“伐昔洛韦”口服。'; '而AI的用药建议只给了每次服用的“粒数”而不是“克”'; '超过标准剂量3倍，再加上服用了一次消炎止痛药，两种药物在超剂量使用时可出现急性肾小管坏死、过敏性间质性肾炎等急性肾衰表现。'","relation":"supports","source_id":"s1"},{"locator":"'而AI建议中仅注明粒数而非具体克数。'; '便上网用AI搜索用药建议自行服用抗病毒药物，没想到几天后出现乏力恶心等症状被家人紧急送医。'","relation":"supports","source_id":"s2"}],"assertion":"According to the hospital, the patient used AI online to look up treatment for a cold sore and bought valaciclovir; the AI's advice gave the number of tablets per dose rather than the amount in grams, and because the imported tablets were three times the usual domestic strength he took more than three times the standard dose, plus an anti-inflammatory painkiller once.","causal_attribution":"The hospital's account as reported by Red Star News; the AI tool and its full answer are not published, and the hospital names the painkiller as a second drug in the overdose."},{"id":"c2","status":"reported","evidence":[{"locator":"'近日，一名患者使用AI问诊后误服用大剂量药物，导致血肌酐飙升至10倍，出现急性药物性肾损伤，后经治疗已出院。'; '同时腹部CT平扫发现输尿管、膀胱均存在不规则的水肿，立刻由急诊收入肾病科病房。'; '血肌酐在5天内就降到了正常范围，目前已出院。'","relation":"supports","source_id":"s1"}],"assertion":"The patient was taken to the emergency department with a blood creatinine of about 800 umol/L, about ten times his earlier level, was admitted to the nephrology ward with acute drug-induced kidney injury, and after treatment his creatinine returned to normal within five days and he was discharged.","causal_attribution":"The hospital's clinical account relayed by the press; no medical record or case report is published."}],"effects":[{"label":"acute drug-induced kidney injury and hospital admission after an overdose (hospital account)","claim_id":"c2","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.chinanews.com.cn/sh/2026/01-26/10558901.shtml","kind":"news_report","access":"read","language":"zh","translation_note":"Read in Chinese and translated by the research agent (an AI) on 2026-10-16; no human reviewer inspected the text. China News Service page of 26 January 2026 carrying a Red Star News report based on information from Zhejiang Provincial Tongde Hospital.","independence_group":"tongde-hospital-account-2026-01"},{"id":"s2","url":"https://www.sohu.com/a/981400955_211762","kind":"social_media_post","access":"read","language":"zh","translation_note":"Read in Chinese and translated by the research agent (an AI) on 2026-10-16; no human reviewer inspected the text. Sohu account post of 29 January 2026 retelling the same hospital account; it adds no independent origin, so it shares s1's group.","independence_group":"tongde-hospital-account-2026-01"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["Which AI tool the patient used, what he asked and the full text of its advice.","The exact date of the overdose; the 26 January 2026 report describes it as recent.","How much the cold remedy and the painkiller contributed relative to the antiviral overdose."],"geography":{"basis":"The patient was treated at Zhejiang Provincial Tongde Hospital in Hangzhou (China News Service; Sohu calls it a Hangzhou case), so CN is the event country. No source states his residence or nationality, so the affected-person country is left unknown. No court.","court_countries":[],"event_countries":["CN"],"affected_person_countries":[]},"publication":{"basis":"Published as a core case: Zhejiang Provincial Tongde Hospital, reported by Red Star News via China News Service, describes a patient who followed AI dosing advice given in tablets rather than grams, took more than three times the standard valaciclovir dose and was admitted with acute drug-induced kidney injury, recovering within five days. The AI's role is attributed to the hospital's account; the tool is unidentified.","reviewed_on":"2026-10-16"},"ai_involvement":{"basis":"Zhejiang Provincial Tongde Hospital, as reported by Red Star News via China News Service, says the patient used AI online for treatment advice and that the AI's medication advice gave the number of tablets per dose but not the amount in grams; because the imported valaciclovir he bought was three times the usual strength, he took more than three times the standard dose. The described contribution is the AI's dosing answer to the patient (communicated_with), which the hospital connects to the overdose and the kidney injury. The tool and its exact output are not published, and the hospital also names a painkiller taken once, so the status is reported.","status":"reported"},"person_relations":["communicated_with"]},"name":"Hangzhou hospital says a man took three times the standard antiviral dose after AI advice gave tablet counts, not grams, and developed acute kidney injury","summary":"Zhejiang Provincial Tongde Hospital in Hangzhou told Red Star News (relayed by China News Service on 26 January 2026) that a patient with a cold sore had recently used AI online to look up treatment, bought valaciclovir and took it as advised. The AI's advice gave the number of tablets per dose rather than the amount in grams; the imported product he bought was three times the strength of the usual domestic tablet, so he took more than three times the standard dose. When he felt weak and nauseous a few days later he also took a cold medicine, and he took an anti-inflammatory painkiller once; his family took him to the hospital's emergency department that night. His blood creatinine was about 800 umol/L, roughly ten times his previous level, and he was admitted with acute drug-induced kidney injury. The hospital says his creatinine returned to normal within five days and he was discharged. The AI tool and its exact wording are not identified.","incidentDate":"2026-01-01","incidentKind":"single_event","incidentDatePrecision":"month","exposurePattern":"single_interaction","reportedDate":"2026-01-26","aiSystem":"An AI tool the patient used online to search for treatment advice (not named); the hospital says its dosing advice gave the number of tablets per dose but not the amount in grams","aiProduct":"Unidentified AI search tool","severity":"medium","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["hospitalization","medical_deterioration"],"harmOutcomeSummary":"According to the hospital, the patient developed acute drug-induced kidney injury, with creatinine about ten times his earlier level, and was admitted from the emergency department; the hospital links this to taking more than three times the standard antiviral dose after AI advice that gave tablet counts without the strength, plus a painkiller. He recovered within five days.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One patient, described by the hospital as having used the AI advice himself; no one else is reported harmed.","victimAgeRange":"adult","jurisdiction":"CN","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://www.chinanews.com.cn/sh/2026/01-26/10558901.shtml","primarySourceLabel":"China News Service (Red Star News), 26 January 2026: man took three times the dose after AI consultation, acute drug-induced kidney injury","firstPublishedAt":"2026-10-16T03:09:44.700687+00:00","updatedAt":"2026-10-16T03:09:44.700687+00:00","scopeVersion":"facts-v3","tags":["ai-medical-advice","medication-dosing","acute-kidney-injury","zhejiang","communicated-with"]},{"id":"2026-patient-says-doctors-ai-appointment-summary-listed-a-medication-never-taken-first-person","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'My doctor asked me if I minded his use of AI to summarize summary my appt yesterday'; 'then I consented because I wanted to see the summary it generated'","relation":"supports","source_id":"s1"}],"assertion":"The patient says their doctor asked whether they minded his use of AI to summarise the appointment, and that they consented, after stating their objections, because they wanted to see the summary it generated.","causal_attribution":"Patient's account of the consent conversation; the doctor's account is not known."},{"id":"c2","status":"reported","evidence":[{"locator":"'It listed a medication I don't take and have never taken on my list of current meds'; 'I didn't check it until it was posted in the portal'","relation":"supports","source_id":"s1"}],"assertion":"The patient says the AI-generated summary, posted in the patient portal, listed among their current medications a drug they do not take and have never taken.","causal_attribution":"The patient attributes the wrong entry to the AI-generated summary; the summary itself was not published and the product is not named."},{"id":"c3","status":"reported","evidence":[{"locator":"'I have messaged him--so I don't know yet!'","relation":"supports","source_id":"s1"}],"assertion":"The patient says they messaged the doctor about the error and did not yet know the response.","causal_attribution":"Patient's reply on 14 October 2026; the patient's later update (c6) reports that the doctor says the record has been corrected."},{"id":"c4","status":"reported","evidence":[{"locator":"'It had not made its way to the official list of meds, but it was listed in the clinical notes'","relation":"supports","source_id":"s2"}],"assertion":"The patient says the wrong medication had not made its way to the official list of medications but was listed in the clinical notes.","causal_attribution":"Patient's reply qualifying where the wrong entry appeared; the clinical notes and the official list are not public."},{"id":"c5","status":"reported","evidence":[{"locator":"'My doctor and I agree that the medication was likely inserted because the AI \"heard\" a specific other thing he said as the name of that medication'","relation":"supports","source_id":"s3"}],"assertion":"The patient says they and the doctor agree that the medication was likely inserted because the AI took a specific other thing the doctor said for the name of that medication.","causal_attribution":"The patient's report of an explanation shared with the doctor; the doctor's own words, the recording and the summary are not public."},{"id":"c6","status":"reported","evidence":[{"locator":"'He tells me record has been corrected'","relation":"supports","source_id":"s3"}],"assertion":"The patient says the doctor tells them the record has been corrected.","causal_attribution":"Known only from the patient's account of what the doctor said; the corrected record is not public."},{"id":"c7","status":"reported","evidence":[{"locator":"'an error introduced into my own medical record by a bot that was not caught by my doctor'","relation":"supports","source_id":"s4"}],"assertion":"The patient says the error introduced into their medical record was not caught by the doctor.","causal_attribution":"The patient's statement; whether and how the doctor reviewed the summary before it was posted is not described."}],"effects":[{"label":"a medication never taken listed among current medications in an AI-generated appointment summary (patient's account)","claim_id":"c2","direction":"negative"}],"sources":[{"id":"s1","url":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxudokyvfk2t","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-15: the root post and its full reply thread retrieved through the public Bluesky API (app.bsky.feed.getPostThread, HTTP 200); no translation and no human reviewer. The author's account asks that posts not be shown to logged-out viewers, so the link may require a Bluesky login; the author's handle and name are not recorded.","independence_group":"bluesky-patient-ai-appointment-summary-medication"},{"id":"s2","url":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxue4dekyk2w","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-15 through the public Bluesky API (app.bsky.feed.getPostThread, HTTP 200); no translation and no human reviewer. The patient's own reply (20:10 UTC 14 Oct) to another user's quote of the root post; same author as s1, so the same source group.","independence_group":"bluesky-patient-ai-appointment-summary-medication"},{"id":"s3","url":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxwynp5c4c2x","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-21 through the public Bluesky API (app.bsky.feed.getPostThread and getAuthorFeed, HTTP 200); no translation and no human reviewer. The patient's own quote-post of the root post (21:23 UTC 15 Oct), so the same source group as s1.","independence_group":"bluesky-patient-ai-appointment-summary-medication"},{"id":"s4","url":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxypsosgxk2r","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-21 through the public Bluesky API (app.bsky.feed.getPostThread, HTTP 200); no translation and no human reviewer. The patient's own reply (13:50 UTC 16 Oct) to another user in the root thread, so the same source group as s1.","independence_group":"bluesky-patient-ai-appointment-summary-medication"}],"version":1,"ai_roles":["institutional_use"],"contexts":["health"],"unknowns":["The AI product the doctor used and what review, if any, the doctor carried out before the summary was posted to the portal.","The doctor's own account of the error and of the correction, which are known only through the patient.","Whether the wrong entry was used in prescribing or copied anywhere before the reported correction.","The country and the exact date of the appointment (the post says it was the day before 14 October 2026; the author's time zone is not known)."],"geography":{"basis":"Neither the post nor the patient's replies name a country, region or clinic; no country is inferred.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published under the public-forum rule as a first-person account of an AI-generated appointment summary that, by the patient's account, recorded a medication they have never taken among their current medications. Described with attribution and without corroboration; the patient's later update reports the doctor's agreement that the AI likely misheard a word and his statement that the record was corrected.","reviewed_on":"2026-10-21"},"ai_involvement":{"basis":"The patient says the doctor asked to use AI to summarise the appointment, that they consented in order to see the summary it generated, and that this summary, posted in the patient portal, listed among their current medications a drug they have never taken. In an update the patient says they and the doctor agree the AI likely took another thing the doctor said for the drug's name. The AI output is therefore the summary itself, and the reported harm is the false entry it made about the patient's medications. The product and the summary text are not known.","status":"reported"},"person_relations":["made_claim_about"]},"name":"First-person post: patient says the AI summary of a doctor's appointment listed, among current medications, a drug the patient has never taken","summary":"In a Bluesky post on 14 October 2026, a patient says their doctor asked whether they minded his use of AI to summarise the appointment the day before. The patient says they explained their objections and then consented because they wanted to see the summary it generated. When the summary was posted in the patient portal, it listed among the patient's current medications a drug the patient says they do not take and have never taken. In a reply shortly afterwards the patient said the drug had not made its way to the official medication list but was listed in the clinical notes, and that they had messaged the doctor. In an update the next day the patient wrote that they and the doctor agree the medication was likely inserted because the AI took something else the doctor said for the drug's name, and that the doctor tells them the record has been corrected. The AI product, the medication and the summary are not public, and the doctor's own account is known only through the patient.","incidentDate":"2026-10-01","incidentKind":"single_event","incidentDatePrecision":"month","exposurePattern":"single_interaction","reportedDate":"2026-10-14","aiSystem":"An AI tool the doctor used to summarise the appointment, as the patient describes it ('his use of AI to summarize'); product not named","aiProduct":"Unidentified AI medical scribe","severity":"low","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["other_material_harm"],"harmOutcomeSummary":"A patient says an AI-generated summary of their doctor's appointment, posted in the patient portal, listed among their current medications a drug they have never taken; the patient adds that it was in the clinical notes but not on the official medication list, and later that the doctor says the record has been corrected (first-person account, uncorroborated).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the patient whose appointment summary contained the wrong medication. Other people's similar accounts in the replies are not counted.","victimAgeRange":"unknown","platformType":"other","outcomeStatus":"resolved","primarySourceUrl":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxudokyvfk2t","primarySourceLabel":"Bluesky post and replies by the patient, 14 Oct 2026: AI summary of an appointment listed a medication never taken","firstPublishedAt":"2026-10-15T03:02:41.092973+00:00","updatedAt":"2026-10-21T02:59:01.848418+00:00","scopeVersion":"facts-v3","tags":["first-person","bluesky","ai-scribe","medical-records","health"]},{"id":"2026-zhejiang-toddler-ai-asthma-diagnosis-mother-declined-chest-xray-pneumonia-hospitalised","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'今年8月，浙江一名3岁男童阳阳（化名）的案例令人警醒。阳阳有哮喘病史，妈妈在AI上输入“过敏、哮喘、咳嗽、夜间咳喘”等关键词，AI快速给出“支气管哮喘急性发作”的诊断'","relation":"supports","source_id":"s1"}],"assertion":"In August 2026 the mother of a three-year-old boy with a history of asthma in Zhejiang entered the keywords allergy, asthma, cough and night-time wheezing into an AI tool, which quickly returned a diagnosis of an acute bronchial asthma attack (newspaper account).","causal_attribution":"Guangming Daily's account; the tool is not identified."},{"id":"c2","status":"reported","evidence":[{"locator":"'阳阳妈妈据此拒绝医生建议的胸部X线平片检查，坚持只开雾化药回家'","relation":"supports","source_id":"s1"}],"assertion":"On the basis of that AI diagnosis the mother declined the chest X-ray examination the doctor recommended and insisted on taking home only nebuliser medication.","causal_attribution":"The feature attributes the refusal to the AI diagnosis (据此); this is the newspaper's account."},{"id":"c3","status":"reported","evidence":[{"locator":"'两天后孩子病情加重、呼吸急促，连夜返院检查发现双肺大面积炎症病灶，确诊为偏肺病毒肺炎叠加细菌感染，紧急住院'","relation":"supports","source_id":"s1"}],"assertion":"Two days later the child's condition worsened with rapid breathing; on an overnight return to the hospital, examination found extensive inflammatory lesions in both lungs, and he was diagnosed with human metapneumovirus pneumonia with a superimposed bacterial infection and admitted as an emergency.","causal_attribution":"Clinical course as described in the newspaper feature; it does not say whether pneumonia was present at the first visit."},{"id":"c4","status":"reported","evidence":[{"locator":"'“他们要是早点听我的，病情也不至于这么严重。”浙江省中医院儿科主任李岚无奈地说'","relation":"supports","source_id":"s1"}],"assertion":"The head of paediatrics at Zhejiang Provincial Hospital of Traditional Chinese Medicine is quoted saying the illness would not have become so severe had the family listened earlier.","causal_attribution":"The clinician's assessment that earlier compliance would have limited the severity; the newspaper reports it without an independent review of the records."}],"effects":[{"label":"Three-year-old admitted as an emergency with pneumonia two days after his mother, relying on an AI tool's acute-asthma diagnosis, declined a recommended chest X-ray (newspaper account)","claim_id":"c3","direction":"negative"}],"sources":[{"id":"s1","url":"https://finance.sina.cn/2026-10-08/detail-iniumumr7827547.d.html","kind":"news_article","access":"read","language":"zh","translation_note":"Chinese body read in full on 2026-10-09 and translated by the research agent (an AI). The Sina Finance page republishes a Bingtuan Daily item (兵团日报, dated 10.08 01:37) credited at the end to Guangming Daily (据《光明日报》); the case passage is told in the newspaper's voice and closes with a quotation from the hospital's head of paediatrics; the feature does not say where its account came from. Re-read on 2026-10-11.","independence_group":"guangming-daily-feature"}],"version":1,"ai_roles":["others_use"],"contexts":["health","everyday_life"],"unknowns":["Which AI tool the mother used.","Whether the tool's acute-asthma diagnosis was wrong in itself or only incomplete; the feature describes the later pneumonia diagnosis, not the asthma assessment.","Whether pneumonia was present or detectable at the first visit, when the chest X-ray was declined.","The exact dates in August 2026 of the first visit and the readmission.","The child's course after the emergency admission.","The family's own account, and where the newspaper obtained its account of the case; only the feature's account, closed with the paediatrics head's quotation, is available."],"geography":{"basis":"The feature places the case in Zhejiang (浙江一名3岁男童) and the treating clinician at Zhejiang Provincial Hospital of Traditional Chinese Medicine, so the event and the affected child are in China. No court is involved.","court_countries":[],"event_countries":["CN"],"affected_person_countries":["CN"]},"publication":{"basis":"Published as a concrete account in a national newspaper feature of a parent relying on an AI tool's symptom diagnosis for a young child, declining a recommended chest X-ray, and the child being admitted as an emergency two days later with pneumonia. Every assertion is attributed to the newspaper's account, and the view that the illness would have been less severe had the family listened earlier is attributed to the paediatrics head. The tool is unnamed. The child's pseudonym from the article appears only inside the verbatim Chinese passages of claims c1 and c2 and is not used in the narrative. The worsening and emergency admission after the declined X-ray, rather than the AI's asthma assessment, is recorded as the harm.","reviewed_on":"2026-10-11"},"ai_involvement":{"basis":"The feature states what the AI tool produced: after the mother entered the keywords allergy, asthma, cough and night-time wheezing, it quickly returned the diagnosis acute bronchial asthma attack. It connects that output to the harm in the next sentences: on that basis the mother declined the chest X-ray the doctor recommended and took home only nebuliser medication, and two days later the child was found to have extensive bilateral lung inflammation and was admitted as an emergency with metapneumovirus pneumonia and a bacterial infection. The account is Guangming Daily's, closed with a quotation from the hospital's head of paediatrics; the tool is unnamed and the family's own version is not reported, so the involvement is recorded as reported rather than supported.","status":"reported"},"person_relations":["made_claim_about","informed_decision_about"]},"name":"Zhejiang toddler hospitalised with pneumonia after his mother relied on an AI tool's asthma diagnosis and declined a chest X-ray (newspaper account)","summary":"A Guangming Daily feature on AI symptom-checking, republished by Bingtuan Daily on Sina Finance on 8 October 2026, recounts a case from August 2026 in Zhejiang and closes it with a quotation from the head of paediatrics at a provincial hospital, who says the family did not heed the doctor's advice. A three-year-old boy with a history of asthma was brought in; his mother had entered keywords such as allergy, asthma, cough and night-time wheezing into an AI tool, which quickly returned a diagnosis of an acute bronchial asthma attack. On that basis, the account says, she declined the chest X-ray the doctor recommended and insisted on taking home only nebuliser medication. Two days later the child's condition worsened with rapid breathing; on an overnight return to the hospital, examination found extensive inflammatory lesions in both lungs, and he was diagnosed with human metapneumovirus pneumonia with a superimposed bacterial infection and admitted as an emergency. The paediatrics head is quoted saying the illness would not have become so severe had the family listened earlier. The AI tool is not named. The case is told in the newspaper's voice, and the feature does not say where its account came from beyond the paediatrics head's quotation; no statement from the family is reported.","incidentDate":"2026-08-01","incidentKind":"single_event","incidentDatePrecision":"month","exposurePattern":"single_interaction","reportedDate":"2026-10-08","aiSystem":"An unnamed AI tool into which, by the account in the Guangming Daily feature, the mother entered symptom keywords and which returned a diagnosis of an acute bronchial asthma attack","aiProduct":"Unidentified symptom-analysis tool","severity":"medium","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["medical_deterioration","hospitalization","treatment_disruption"],"harmOutcomeSummary":"By the newspaper's account, after his mother, relying on an AI tool's acute-asthma diagnosis, declined the chest X-ray a doctor advised, a three-year-old's condition worsened over two days and he was admitted as an emergency with metapneumovirus pneumonia and a bacterial infection; the paediatrics head is quoted saying the illness would not have become so severe had the family listened earlier.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"One child is reported harmed. The mother used the AI tool; the harm fell on the child, so he is counted as another person harmed and no direct user is counted as harmed.","victimAgeRange":"minor","jurisdiction":"CN","platformType":"other","outcomeStatus":"unknown","primarySourceUrl":"https://finance.sina.cn/2026-10-08/detail-iniumumr7827547.d.html","primarySourceLabel":"Sina Finance (Bingtuan Daily, credited to Guangming Daily), AI热潮下医患问诊之变与辨, 8 October 2026","firstPublishedAt":"2026-10-09T03:36:33.441089+00:00","updatedAt":"2026-10-11T07:43:54.606673+00:00","scopeVersion":"facts-v3","tags":["health","symptom_checker","children","declined_examination","china"]},{"id":"2026-colorado-specialty-pharmacy-ai-phone-line-confirmed-prescription-order-never-placed-first-person","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'My insurance forced my prescription to change from my local pharmacy to Accredo specialty pharmacy'; 'I called the number given online to setup my order, AI phone service goes through all the prompts'","relation":"supports","source_id":"s1"}],"assertion":"The poster says their insurer moved their prescription to the specialty pharmacy Accredo and that an AI phone service handled their call to set up a delivery.","causal_attribution":"Poster's account."},{"id":"c2","status":"reported","evidence":[{"locator":"'I tell it Friday Oct 2nd, it confirms it, repeating everything back that I'll receive it on the 2nd'; 'it was never ordered'","relation":"supports","source_id":"s1"}],"assertion":"The poster says the AI phone service confirmed delivery for Friday 2 October and repeated the details back, and that when they checked on that Friday the medication had never been ordered.","causal_attribution":"Poster attributes the missing order to the AI phone service; no call record or pharmacy account was retrieved."},{"id":"c3","status":"reported","evidence":[{"locator":"'immediately transfers to a person'; 'I'm set now to get it Tuesday and am going 3 days without pills'","relation":"supports","source_id":"s1"}],"assertion":"The poster says a second call was transferred to a person, the delivery was rescheduled for Tuesday, and they would go three days without the pills.","causal_attribution":"Poster's account."},{"id":"c4","status":"reported","evidence":[{"locator":"'so my body doesn't create an immunity to my immune suppressant IVs'; 'reduce the swelling/damage my intestines take'; 'I've talked with my doctor'; 'Moving the next IV back from next week to 2 weeks could be worse for my health so we ruled that out'","relation":"supports","source_id":"s1"}],"assertion":"The poster says the medication is for a severe chronic intestinal disease and keeps their body from developing an immunity to their immunosuppressant IVs, that they consulted their doctor, and that they decided not to delay the next IV.","causal_attribution":"Poster's account; no health effect of the gap is reported."},{"id":"c5","status":"reported","evidence":[{"locator":"'I realize some of this is my fault for not being on top of it more'","relation":"supports","source_id":"s1"}],"assertion":"The poster says part of the problem was their own fault for not arranging the delivery sooner.","causal_attribution":"Not applicable: records the poster's own account of a contributing factor."}],"effects":[{"label":"prescription delivery confirmed by the AI phone line was never placed (poster's account)","claim_id":"c2","direction":"negative"},{"label":"three days without a prescribed medication for a chronic disease (poster's account)","claim_id":"c3","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.reddit.com/r/legaladvice/comments/1wyq5ru/ai_phone_service_didnt_order_rx/","kind":"forum_post","access":"read","language":"en","translation_note":"Read in English on 2026-10-06: full self-text, retrieved through the arctic_shift archive API by post ID; the single comment retrieved had been removed. The poster handle is not recorded.","independence_group":"reddit-pharmacy-ai-phone-line-poster"}],"version":1,"ai_roles":["institutional_use"],"contexts":["health"],"unknowns":["Which vendor supplies the pharmacy's phone system and whether a call record shows what the system confirmed.","The exact date of the first call, which the poster gives only as the Monday of the week before the post.","Whether the three-day gap affected the poster's health or treatment.","Whether the pharmacy responded to the poster."],"geography":{"basis":"The poster gives the location of the matter as Colorado, United States in the post's location line, where they called the pharmacy and went without the medication.","court_countries":[],"event_countries":["US"],"affected_person_countries":["US"]},"publication":{"basis":"Published under the public-forum rule as a concrete first-person account in which a pharmacy's AI phone ordering line confirmed a prescription delivery that the poster says was never placed, with a stated three-day gap in medication. Described with attribution and without corroboration; the poster's handle is not recorded.","reviewed_on":"2026-10-06"},"ai_involvement":{"basis":"The poster says the pharmacy's AI phone service took their order, confirmed delivery for 2 October and repeated the details back, and that when they checked on that day no order had been placed, which left them three days without the medication. The poster's description is the only evidence that the line is an AI system and that its confirmation was the failure; no call record or pharmacy statement was retrieved.","status":"reported"},"person_relations":["communicated_with"]},"name":"Patient says a specialty pharmacy's AI phone line confirmed a prescription delivery that was never ordered, leaving them three days without the medication","summary":"In a public post to r/legaladvice created early on 6 October 2026 (UTC), a person who gives their location as Colorado, United States, writes that their insurer moved their prescription to the specialty pharmacy Accredo. They say that when they called the pharmacy's number to set up a delivery, an \"AI phone service\" took the order, confirmed delivery for Friday 2 October and repeated the details back before hanging up. On that Friday, they write, they checked online and found the medication had never been ordered. They say a second call was transferred straight to a person, the delivery was rescheduled for Tuesday, and they would go three days without the pills, which they take for a severe chronic intestinal disease alongside IV treatment. They say their doctor was consulted and does not like the gap. The poster also says part of the problem was their own late ordering. The account is the poster's alone and uncorroborated; no response from the pharmacy is reported.","incidentDate":"2026-10-02","incidentKind":"single_event","incidentDatePrecision":"day","exposurePattern":"single_interaction","reportedDate":"2026-10-06","aiSystem":"An automated AI phone ordering line at the specialty pharmacy Accredo, as the poster describes it; the vendor of the system is not named","aiProduct":"Unidentified AI phone ordering system","severity":"low","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["treatment_disruption"],"harmOutcomeSummary":"The poster says a pharmacy's AI phone ordering line confirmed a prescription delivery that was never placed, leaving them three days without a medication they take for a severe chronic intestinal disease (first-person account, uncorroborated; no health effect had been reported at the time of the post).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the poster. Exact 1.","victimAgeRange":"unknown","jurisdiction":"US-CO","platformType":"chatbot","outcomeStatus":"ongoing","primarySourceUrl":"https://www.reddit.com/r/legaladvice/comments/1wyq5ru/ai_phone_service_didnt_order_rx/","primarySourceLabel":"r/legaladvice, 6 October 2026: \"AI phone service didn't order Rx\"","firstPublishedAt":"2026-10-06T03:20:48.035562+00:00","updatedAt":"2026-10-06T03:20:48.035562+00:00","scopeVersion":"facts-v3","tags":["first-person","reddit","pharmacy","phone-agent","prescription","missed-medication","health","communicated-with"]}]}