>Does what actually happen?

The latter. Somebody in a town of dumbfucknowhere, OH wakes up, downloads this data from a commercial company obtained legally or not and then charges an actual person with getting an abortion. It is technically possible, I would factor it in my threat model if it was my problem, but does it actually happen?

I see a potential motive for the person doing this -- either promotion, quota hitting, number bullshitting or religious zeal. They can probably get something out it?