{
  "id": "AIBD-0136",
  "title": "ChatGPT tells a Wolfforth, Texas woman with a week-old spider bite, days of vomiting and a numb arm to go to the ER; doctors say she belongs there",
  "summary": "ChatGPT sent Holli of Wolfforth, Texas to the ER for a worsening spider bite on 27 August 2025; doctors agreed and said the tissue was dying.",
  "date_observed": "2025-08-27",
  "date_basis": "unassessed",
  "date_precision": "unassessed",
  "benefit_status": null,
  "source_collection": null,
  "source_entry": null,
  "account": "Holli posts on TikTok as @hair.queen.holli from Wolfforth, Texas. She said a spider had bitten her “a little over a week ago”. The bite was getting worse. She had vomited for days and could not keep water down. She woke with a numb arm. She asked ChatGPT whether she should go to the emergency room (ER). It answered that her symptoms were “a ton of red flags” and that she should go immediately. At the ER, she said, staff told her “Yeah, you should be here”. They said the skin tissue was dying or dead. Her video, recorded at the ER, was posted on 27 August 2025. The hospital, diagnosis and treatment were not reported. No clinician has spoken.",
  "category": "protective response",
  "unexpected": false,
  "purpose": "ChatGPT is a general-purpose conversational assistant. Answering a user's question, here whether to go to the emergency room, is its core function. OpenAI told the Mirror that its services “are not intended for use in the diagnosis or treatment of any health condition”. The Economic Times quoted it. The system gave triage advice rather than a diagnosis.",
  "system": "ChatGPT",
  "model_version": null,
  "developer": "OpenAI",
  "deployer": null,
  "location": "Wolfforth, United States",
  "domain": "Healthcare (emergency self-triage)",
  "segment": "Consumer use of a general chatbot for triage advice",
  "benefit_type": "Improved Physical Health",
  "taxonomy_note": null,
  "registry_ids": {
    "oecd_aim": "2025-09-02-0516"
  },
  "ratings": [
    {
      "group": "personal",
      "depth": 2,
      "reason": "Holli got emergency care after the chatbot overrode her hesitation. She says doctors told her the bite's tissue was dying or dead. The diagnosis, treatment and outcome were not reported. The size of the benefit is therefore unknown."
    }
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  "ai_role": {
    "status": "assessed",
    "statement": "ChatGPT's contribution, on her account, was an unambiguous instruction to go immediately when she was unsure. The assessment and any treatment were the ER's. Whether earlier arrival changed her outcome is unknown. Everything traces to her TikTok, relayed by Reach plc tabloids and Indian lifestyle desks. Hindustan Times states that it “has not independently verified the claims”."
  },
  "evidence": [
    {
      "kind": "other",
      "citation": "Holli (@hair.queen.holli) (2025). TikTok video 7543332854705540365, recorded at the emergency room. TikTok, 27 August 2025.",
      "title": "The Dr said the skin is dying or already dead, I can't really remember… so it is an emergency",
      "url": "https://www.tiktok.com/@hair.queen.holli/video/7543332854705540365",
      "date": "2025-08-27",
      "written_by": "beneficiary",
      "quote": "The Dr said the skin is dying or already dead, I can’t really remember… so it is an emergency"
    },
    {
      "kind": "news report",
      "citation": "Danielle Kate Wroe / Daily Express (2025). Woman is 'thankful' after asking Chat GPT for medical advice and is told to go to A&E. Express.co.uk, 2 September 2025.",
      "title": "Woman is 'thankful' after asking Chat GPT for medical advice and is told to go to A&E",
      "url": "https://www.express.co.uk/life-style/health/2103355/woman-bit-spider-asks-ai-chatbot-advice-told-me-go-e",
      "date": "2025-09-02",
      "written_by": "independent",
      "quote": "They looked at it and said, 'Yeah, you should be here'. So now here I am"
    },
    {
      "kind": "news report",
      "citation": "Danielle Kate Wroe / Daily Star (2025). Woman asks Chat GPT whether she should go to A&E and doctors say it's a good job. Daily Star, 2 September 2025.",
      "title": "Woman asks Chat GPT whether she should go to A&E and doctors say it's a good job",
      "url": "https://www.dailystar.co.uk/real-life/woman-asks-chat-gpt-whether-she-should-go-to-ae-35834743",
      "date": "2025-09-02",
      "written_by": "independent",
      "quote": "your symptoms are a ton of red flags, you need to go immediately"
    },
    {
      "kind": "news report",
      "citation": "Akanksha Agnihotri / Hindustan Times (2025). Woman credits ChatGPT for saving her life after spider bite left her arm numb: 'It told me to immediately go to the ER'. Hindustan Times, 3 September 2025.",
      "title": "Woman credits ChatGPT for saving her life after spider bite left her arm numb: 'It told me to immediately go to the ER'",
      "url": "https://www.hindustantimes.com/lifestyle/health/woman-credits-chatgpt-for-saving-her-life-after-spider-bite-left-her-arm-numb-it-told-me-to-immediately-go-to-the-er-101756886357629.html",
      "date": "2025-09-03",
      "written_by": "independent",
      "quote": "This report is based on user-generated content from social media. HT.com has not independently verified the claims and does not endorse them."
    },
    {
      "kind": "news report",
      "citation": "ET Online / The Economic Times (2025). Woman bitten by spider turns to ChatGPT for help, and doctors say it saved her life. The Economic Times, 3 September 2025.",
      "title": "Woman bitten by spider turns to ChatGPT for help, and doctors say it saved her life",
      "url": "https://economictimes.indiatimes.com/magazines/panache/woman-bitten-by-spider-turns-to-chatgpt-for-help-and-doctors-say-it-saved-her-life/articleshow/123680161.cms",
      "date": "2025-09-03",
      "written_by": "independent",
      "quote": "Our Services are not intended for use in the diagnosis or treatment of any health condition"
    }
  ],
  "replication": {
    "produced_by": [
      "Escalating symptoms (days of vomiting, inability to keep water down, new numbness in the arm) in a person hesitating to seek care.",
      "A yes/no triage question put to a chatbot that answered without hedging: “you need to go immediately”.",
      "An emergency department within reach that could assess the bite the same day."
    ],
    "must_hold": [
      "The user acts on the advice promptly rather than waiting for a second opinion.",
      "The advice is to escalate to clinicians, who then examine and diagnose. The chatbot made no diagnosis.",
      "Such cases are self-published. No clinician, hospital or document has confirmed this one. The record stands or falls with her account."
    ],
    "echoes": []
  },
  "paired_incident": null,
  "headline": "ChatGPT sends a woman with a spider bite to the ER; staff agree",
  "metric": null,
  "comparator": null,
  "later": {
    "status": "unknown",
    "date": null,
    "note": "No report on Holli's diagnosis, treatment or recovery after the 27 August 2025 video was found; the press pieces of 2-3 September 2025 only retell the video.",
    "quote": null,
    "url": null
  },
  "value": null,
  "developer_country": "United States",
  "deployer_country": null,
  "unrated_because": null,
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      "date": "2026-10-20",
      "change": "Record drafted from the OECD Monitor entry and the cited sources. Filed as protective response with prevention unproven rather than the classifier's specific harm prevented: the protective action (an instruction to go to the ER, which doctors endorsed) is documented only by Holli's own video, and no diagnosis, treatment or outcome has been reported, so no specific prevented harm is evidenced; the Monitor's “treated her” is not in any source. The TikTok was dated from its page metadata (createTime 1756319056, 27 August 2025) and still existed on 20 October 2026. Reach plc ran the same text in the Express and the Daily Star under one byline; The Economic Times credits the Mirror. No local Texas report, clinician or hospital statement was found.",
      "source": "https://oecd.ai/en/incidents/2025-09-02-0516",
      "editor": "AIBD"
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    {
      "date": "2026-10-21",
      "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Accessibility among the six first used.",
      "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/",
      "editor": "AIBD"
    },
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      "date": "2026-10-21",
      "change": "Country of the developer added from the organization's own site or a registry.",
      "source": "https://en.wikipedia.org/wiki/OpenAI",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-21",
      "change": "Prose pass: a rating reason, account, purpose, the replication conditions, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.",
      "source": null,
      "editor": "AIBD"
    }
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  "confidence": "reported",
  "shade": "medium",
  "claim_status": "Independently reported",
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      },
      "version": {
        "state": "value_present",
        "value": {
          "kind": "identifiers",
          "identifiers": [
            "947ff4e410c722ad2357a2f6a262ab3f0de11fa3c5c6a57ad117dbc535a7ac7a"
          ],
          "role": "SHA-256 of normalized original case data"
        },
        "provenance": {
          "kind": "curatorial",
          "basis": "Deterministic content version assigned by the local migration.",
          "record_fields": [],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "complete"
      },
      "workflow": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "account": "Holli posts on TikTok as @hair.queen.holli from Wolfforth, Texas. She said a spider had bitten her “a little over a week ago”. The bite was getting worse. She had vomited for days and could not keep water down. She woke with a numb arm. She asked ChatGPT whether she should go to the emergency room (ER). It answered that her symptoms were “a ton of red flags” and that she should go immediately. At the ER, she said, staff told her “Yeah, you should be here”. They said the skin tissue was dying or dead. Her video, recorded at the ER, was posted on 27 August 2025. The hospital, diagnosis and treatment were not reported. No clinician has spoken.",
            "replication": {
              "produced_by": [
                "Escalating symptoms (days of vomiting, inability to keep water down, new numbness in the arm) in a person hesitating to seek care.",
                "A yes/no triage question put to a chatbot that answered without hedging: “you need to go immediately”.",
                "An emergency department within reach that could assess the bite the same day."
              ],
              "must_hold": [
                "The user acts on the advice promptly rather than waiting for a second opinion.",
                "The advice is to escalate to clinicians, who then examine and diagnose. The chatbot made no diagnosis.",
                "Such cases are self-published. No clinician, hospital or document has confirmed this one. The record stands or falls with her account."
              ],
              "echoes": []
            }
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "account",
            "replication"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      }
    },
    "summary": {
      "total": 91,
      "addressed": 91,
      "known": 29,
      "reviewed": 0,
      "record_mapped": 29,
      "not_assessed": 62,
      "complete": false,
      "by_state": {
        "value_present": 29,
        "not_reported": 0,
        "unresolved": 0,
        "not_assessed": 62,
        "not_applicable": 0,
        "withheld": 0,
        "source_unavailable": 0
      }
    }
  }
}
