CVE-2026-48088 — OpenReception vulnerable to unauthenticated staff crypto poisoning that breaks E2E recipient directory
OpenReception's appointment booking software provides an end-to-end encrypted appointment booking platform. Prior to version 1.0.4, the route `POST /api/tenants/{tenantId}/staff/{staffId}/crypto` accepts and stores attacker-controlled ML-KEM-768 public keys against any tenant on the platform without authentication. The handler logs an "Unauthorized crypto key storage attempt" warning when neither a session nor a registration cookie is present, then proceeds to insert the row regardless. The platform's E2E claim that "even administrators cannot view sensitive information" is broken: any unauthenticated network attacker can register themselves as an additional encryption recipient for any tenant's future patient appointments. A second variant of the bug suppresses the unauthorized-warning log entry. The Zod schema makes the `email` field optional. When the request body omits `email` and the request carries no registration cookie, the comparison `registrationEmail === email` becomes `undefined === undefined`, which evaluates to `true`. The handler treats the request as a legitimate registration flow, skips the warning entirely, and stores the row. Successful storage is still recorded as an `[info]` log line, but the security-relevant warning that operators are most likely to monitor or alert on is gone. The `staff_crypto` table has no unique constraint on `user_id`, so an arbitrary number of attacker rows can coexist for the same staff identifier and all return as `is_active=true`. The supplied `staffId` does not need to match any existing user or pending invite. Schema validation on `passkeyId`, `publicKey`, and `privateKeyShare` is also weak: the literal string `<placeholder-base64>` was accepted, indicating no length, format, or cryptographic-validity check beyond field presence. This weakness is independent of the auth bypass but compounds it: a poisoned directory can also be filled with malformed entries that break legitimate booking flows. The injected key is consumed by the public booking flow. After completing the unauthenticated `bootstrap-challenge` and `bootstrap-verify` ceremony as a "patient", the resulting `bookingAccessToken` is accepted by `GET /api/tenants/{id}/appointments/staff-public-keys`, which returns the attacker-controlled keys alongside any legitimate ones. A new appointment encrypts its tunnel key with ML-KEM to all listed recipients, so the attacker becomes a co-recipient of the encryption and can decapsulate the tunnel key with the matching secret. From there, all appointment payloads for that booking are decryptable. Version 1.0.4 patches the issue.
Who exploits it and how urgent it is
A 0–100 score combining confirmed exploitation, ransomware and APT use, public exploits, EPSS and severity.
How the score was calculated
- EPSS 0.4% (30-day exploitation probability)+5
- Technical severity (critical)+10
- CISA SSVC: exploitation "poc"+5
- Automatable exploitation (SSVC)+3
The score orders the patch queue; it does not replace your asset context (internet exposure, criticality, compensating controls).
Triage
Is it exploited, how likely is exploitation, what does it touch, and how severe do the sources call it.
CISA SSVC assessment CISA
Three decision points CISA publishes for the CVEs it assesses (SSVC 2.0.3). A stakeholder decision, not a severity score.
Remediation
Fixes and mitigations documented by the sources — linked to the original advisory.
No fix documented by the sources we poll. That does not mean none exists: check the vendor advisory.
First 24 hours
Ordered from the record’s own fields — exposure first, because you cannot patch what you have not found. A rule-generated starting point.
- Identify exposed assets running the affected vendor/product/version combinations (Open-reception Appointment-booking-software).
- The attack is network-based and needs no privileges: restrict exposure (ACLs, VPN, WAF) until patched.
- No fix documented in the sources: reduce exposure and monitor the vendor advisory.
- Search available logs for exploit probes matching the vulnerability class (access control), errors and authentication anomalies.
Affected scope
Vendor, product and versions as the sources word them.
| Vendor | Product | Versions | Status | Source |
|---|---|---|---|---|
| Open-reception | Appointment-booking-software | version < 1.0.4 | Vulnerable | CVE Program (cve.org) e CISA ADP |
Attack characteristics
The CVSS vector, decoded. It describes the attack, not your exposure to it.
Every base score collected
Sources score independently and may disagree; each row says who scored it and under which version.
| Score | Version | Severity | Expl. | Impact | Scored by |
|---|---|---|---|---|---|
| 9.4 | CVSS 3.1 | Critical | 3.9 | 5.5 | security-advisories@github.com via NIST National Vulnerability Database |
| 9.4 | CVSS 3.1 | Critical | — | — | GitHub_M via CVE Program (cve.org) e CISA ADP |
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:L (score shown at the top: security-advisories@github.com) Weakness MITRE
Weakness class according to MITRE’s CWE catalog.
Detection
Read off the CVSS vector and the weakness class. Starting points, not tested rules.
- Prioritize edge telemetry for the network-reachable component (proxy, WAF, IDS/IPS).
- Audit administrative actions and access to resources outside each user’s normal pattern.
Timeline
What happened to this CVE, newest first.
- 2026
- Affected products added · open-reception/appointment-booking-software
- SSVC assessment updated
- Record published
- CVSS changed · 9.4
- Source status changed · → Deferred
- Record created in this database
- CVE published
Source activity
Repeated readings are counted rather than listed.
- 1× Official description updated · Oct 15, 2026 – Oct 15, 2026
References
2 on the record
Elsewhere on this site
Related CVEs (same products)
- Critical CVE-2026-54460 OpenReception: Unauthenticated WebAuthn passkey injection via `POST /api/auth/passkeys` leads to account takeover 28d
- Critical CVE-2026-48085 OpenReception has unauthenticated GLOBAL_ADMIN account creation post-bootstrap Aug 6, 2026
- Medium CVE-2026-48083 OpenReception: Unauthenticated POST /api/log accepts arbitrary content with CRLF injection and no size or rate limits Aug 6, 2026
- High CVE-2026-48084 OpenReception doesn't rate limit passphrase login attempts Aug 6, 2026
- Critical CVE-2026-48086 OpenReception: Tenant admin self-promotes to GLOBAL_ADMIN Aug 6, 2026
- Critical CVE-2026-48087 OpenReception: WebAuthn passkey injection allows account takeover Aug 6, 2026
Not in any source we poll
Listed rather than left blank: an empty field and an unmeasured one look identical on screen, and only one is a reason to look elsewhere.
- No fixed version, patch or mitigation documented.
- No confirmed IOCs, IP addresses, domains, file hashes, or malware artifacts supplied.
- No organization-specific asset inventory, compensating-control status, or patch deployment evidence supplied.
- No exploit packet captures, log samples, or incident case IDs supplied.
Answered from this record
Text assembled only from the fields above — no additional claims.
What should defenders know first?
CVE-2026-48088 is "OpenReception vulnerable to unauthenticated staff crypto poisoning that breaks E2E recipient directory", rated Critical. It affects Appointment-booking-software (Open-reception); versions are in the scope table. It is not in CISA KEV, which does not rule out exploitation. CVSS 9.4 describes technical severity. EPSS 0.38% estimates the probability of exploitation in 30 days; neither replaces your asset context. First verify whether exposed or business-critical assets run the affected versions, apply vendor fixes or mitigations, and preserve logs for review.
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