Constantly flagging my account to Apple is an attack of its own. I don't need Apple to be complicit, just make a mistake by erring on the side of caution when reporting.
I don't see how there's a "side of caution" when it comes to images classified as "A1" of prepubescent minors ("A") engaged in sex acts ("1").
What does it take to have 30 or more images in your photo library that have been all been manipulated to be a perceptual hash match to 30 or more A1-classified images, while also being able to pass human review ("erring on the side of caution") with respect to them being maybe fitting the A1 classification.
There's no ambiguity in prepubescent minors engaged in sex acts.
The content reviewer isn't going to see an image in enough detail to determine that it is obviously A1 material, so yes, the content reviewer will err on the side of caution.