CVE-2026-49142

What it is

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.

At a glance

Exploitability

Can be exploited over the network with a low-privilege account. High risk of data exposure, data tampering, service disruption.

Exploit odds

0.4% chance of exploitation in the next 30 days (EPSS).

Fix

A patch, advisory or fixed version is referenced. Upgrade or apply it.

Timeline

1. 2026-10-29 13:17 UTC PublishedDisclosed publicly on CVE.org and NVD
2. 2026-11-04 01:17 UTC Last updatedMost recent change to the record

Details

Published

2026-10-29 13:17 UTC

Last modified

2026-11-04 01:17 UTC

Exploit probability

0.4% · EPSS, next 30 days

Weakness

CWE-89 · SQL injection

Record status

Awaiting Analysis

Attack profile CVSS 4.0 · 8.7

Attack vector

Network

Complexity

Low

Attack requirements

None

Privileges needed

Low

User interaction

None

Confidentiality

High

Integrity

High

Availability

High