CVE-2026-49120 | Medplum < 5.1.14 SSRF via FHIR Subscription Endpoint

Medplum before 5.1.14 contains a server-side request forgery vulnerability in the subscription worker that allows authenticated users to perform unauthorized internal network requests by creating FHIR Subscription resources with arbitrary endpoint URLs. Attackers can point subscription endpoints at internal addresses such as cloud instance metadata services, internal databases, or container orchestration endpoints to exfiltrate IAM credentials and patient health records via the POST body containing full FHIR resource payloads.

Published: 2026-06-02 Last update: 2026-06-04 Assigner: [email protected] Source: [email protected]
NVD Status：Deferred，CVE State: published
View at NVD, CVE.org, EUVD

CVE-2026-49120 is rated Low Risk (28.1/100): CVSS Medium severity, with low exploitation likelihood (EPSS 0.03%). Monitor for updates and reassess as exploit intelligence or EPSS changes.

Risk is dynamic; we continuously reassess and refresh what is shown on this page as upstream context changes.

Exploit prediction scoring system (EPSS) score for CVE-2026-49120

EPSS lead: Daily EPSS estimates relative likelihood of exploitation; percentile ranks this CVE among scored vulnerabilities (higher = more severe relative rank).

# Date Old EPSS score New EPSS score Delta (New - Old)
1 2026-06-03 — 0.03% —

Full EPSS history (1 record total)

Common vulnerability scoring system (CVSS) metrics for CVE-2026-49120

CVSS metrics for this CVE.

Base score Version Severity Vector Exploitability Impact Score source
6.3 4.0 MEDIUM
CVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:N/VI:L/VA:N/SC:H/SI:L/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 Click to expand
Attack vector (AV:N)
Could be attacked over the internet or any normal routed network.
Attack complexity (AC:L)
Exploitation conditions are straightforward and stable.
Attack requirements (AT:N)
No additional preconditions are required beyond normal reachability.
Privileges required (PR:L)
Low privileges are required.
User interaction (UI:N)
No user interaction is required.
Vulnerable system confidentiality impact (VC:N)
No confidentiality impact on the vulnerable system.
Vulnerable system integrity impact (VI:L)
Limited integrity impact on the vulnerable system.
Vulnerable system availability impact (VA:N)
No availability impact on the vulnerable system.
Subsequent system confidentiality impact (SC:H)
High confidentiality impact on subsequent systems.
Subsequent system integrity impact (SI:L)
Limited integrity impact on subsequent systems.
Subsequent system availability impact (SA:N)
No availability impact on subsequent systems.
Exploit maturity (threat) (E:X)
Not defined: no reliable threat intelligence; scoring assumes the worst case (equivalent to Attacked).
Confidentiality requirement (CR:X)
Not defined: insufficient information; scoring treats this like High (worst case).
Integrity requirement (IR:X)
Not defined: insufficient information; scoring treats this like High (worst case).
Availability requirement (AR:X)
Not defined: insufficient information; scoring treats this like High (worst case).
Modified attack vector (MAV:X)
Not defined: scoring uses the Base Attack Vector (AV).
Modified attack complexity (MAC:X)
Not defined: scoring uses the Base Attack Complexity (AC).
Modified attack requirements (MAT:X)
Not defined: scoring uses the Base Attack Requirements (AT).
Modified privileges required (MPR:X)
Not defined: scoring uses the Base Privileges Required (PR).
Modified user interaction (MUI:X)
Not defined: scoring uses the Base User Interaction (UI).
Modified vulnerable system confidentiality impact (MVC:X)
Not defined: scoring uses the Base VC metric.
Modified vulnerable system integrity impact (MVI:X)
Not defined: scoring uses the Base VI metric.
Modified vulnerable system availability impact (MVA:X)
Not defined: scoring uses the Base VA metric.
Modified subsequent system confidentiality impact (MSC:X)
Not defined: scoring uses the Base SC metric.
Modified subsequent system integrity impact (MSI:X)
Not defined: scoring uses the Base SI metric.
Modified subsequent system availability impact (MSA:X)
Not defined: scoring uses the Base SA metric.
Safety (supplemental) (S:X)
Not evaluated.
Automatable (supplemental) (AU:X)
Not evaluated.
Recovery (supplemental) (R:X)
Not evaluated.
Value density (supplemental) (V:X)
Not evaluated.
Vulnerability response effort (supplemental) (RE:X)
Not evaluated.
Provider urgency (supplemental) (U:X)
Not evaluated.
 — — [email protected]
8.5 3.1 HIGH
CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:C/C:H/I:L/A:N Click to expand
Attack vector (AV:N)
Could be attacked over the internet or any normal routed network—not just someone sitting at the machine.
Attack complexity (AC:L)
Once they can reach the bug, pulling it off is straightforward—no weird race conditions or rare setup.
Privileges required (PR:L)
A normal user session is enough; they don’t have to be admin.
User interaction (UI:N)
Nobody has to click “OK” or open a trap file; it can work without a victim helping.
Scope (S:C)
Breaking this can reach past the original component and bite other resources—bigger blast radius.
Confidentiality (C:H)
Serious risk that confidential data gets exposed in a big way.
Integrity (I:L)
Attackers could change some data, but it’s limited—not everything goes.
Availability (A:N)
Service keeps running; no real outage angle.
 3.1 4.7 [email protected]

Weakness enumeration for CVE-2026-49120

GitHub Security Advisory for CVE-2026-49120

GHSA-w852-7r27-32c6 · Severity: medium — Medplum before 5.1.14 contains a server-side request forgery vulnerability in the subscription...

Affected software / configurations for CVE-2026-49120

Vendor Product Version Raw CPE
No affected products in dataset.

References for CVE-2026-49120

cvelogic Threat Intelligence