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Fencer Vulns
high 8.8

CVE-2026-49142 json

OpenEMR Before 8.5.0 SQL Injection via form_icd_codes[]

published 2026-10-29 10 d ago modified 2026-11-08 18 h ago also EUVD-2026-112788

cvss
8.8
version 3.1, CNA
cisa kev
Not listed
not in CISA's catalog
epss
0.4%
EPSS 0.4% chance of exploitation in 30 days, percentile 29%
public exploits
0
none known

Summary

OpenEMR before 8.5.0 contains an authenticated SQL injection vulnerability in the Syndromic Surveillance module that allows users with Clinician-level privileges to read and modify arbitrary database contents by submitting crafted values in the form_icd_codes[] POST parameter to the syndromicsurveillance/index endpoint. Attackers can inject an unquoted numeric IN() clause and UNION DISTINCT SELECT statement using hex-encoded literals to abuse MySQL extractvalue() for error-based exfiltration of bcrypt password hashes and execute stacked queries that reset passwords, resulting in full administrative account takeover.

Patch / fix

  • openemr openemr 8.5.0

CISA SSVC

Exploitation
Proof of concept is public
Automatable
no
Technical impact
total
Assessed
5 d ago

Exploit prediction

0.36% chance of exploitation in the next 30 days, higher than 29% of all scored CVEs (FIRST EPSS, 2026-11-08).

Exploits and checks

  • github.com https://github.com/openemr/openemr/security/advisories/GHSA-w99c-jwcm-24hh referenced PoC, tagged "exploit" by a source, unverified

CVSS scores

assigned by version score vector
CNA 4.0 8.7 CVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:H/VI:H/VA:H/SC:N/SI:N/SA:N
CNA 3.1 8.8 CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:H
CNA 4.0 8.7 CVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:H/VI:H/VA:H/SC:N/SI:N/SA:N/E:X/CR:X/IR:X/AR:X/MAV:X/MAC:X/MAT:X/MPR:X/MUI:X/MVC:X/MVI:X/MVA:X/MSC:X/MSI:X/MSA:X/S:X/AU:X/R:X/V:X/RE:X/U:X

Affected products

  • openemr openemr

Classification

Weakness
  • CWE-89 Improper Neutralization of Special Elements used in an SQL Command

References

Sources

Fencer Vulns keeps one entry per vulnerability: the CVE id wins, then GHSA, and records that alias each other are merged, except that two CVEs always keep separate entries. The same data is available as JSON.