In epa4all, prior to version 2026-05-20, an attacker who can intercept the TLS connection between epa4all and the ePA backend can complete the VAU handshake with attacker-controlled keys and obtain the session encryption keys. All inner HTTP traffic (patient consent decisions, medication data, document operations, authorization tokens, and entitlement queries) becomes readable and modifiable. The attacker can also inject arbitrary requests through the hijacked channel. This issue has been patched in version 2026-05-20.

No CVSS v4.0

Attack Vector Network

Attack Complexity Low

Privileges Required None

Scope Unchanged

Confidentiality Impact High

Integrity Impact High

Availability Impact None

User Interaction None

No CVSS v3.0

No CVSS v2

This CVE is not in the KEV list.

No EPSS score available.

Key SSVC decision points have not yet been added.

Default status is the baseline for the product, each version can override it (e.g. patched versions marked unaffected).

Vendor Product Default status Versions
med-united epa4all affected
Version Status Constraints
< 2026-05-20 affected —

No data.

No data.

No data.

Project Subscriptions

No data.

Advisories

No advisories yet.

Fixes

Solution

No solution given by the vendor.

Workaround

No workaround given by the vendor.

References
Link Providers
https://github.com/med-united/epa4all/releases/tag/2026-05-20 cve-icon
https://github.com/med-united/epa4all/security/advisories/GHSA-vvh7-x6c7-46gh cve-icon
https://www.machinespirits.com/advisory/aa49f0 cve-icon
History

Fri, 24 Jul 2026 18:30:00 +0000

Type Values Removed Values Added
Description In epa4all, prior to version 2026-05-20, an attacker who can intercept the TLS connection between epa4all and the ePA backend can complete the VAU handshake with attacker-controlled keys and obtain the session encryption keys. All inner HTTP traffic (patient consent decisions, medication data, document operations, authorization tokens, and entitlement queries) becomes readable and modifiable. The attacker can also inject arbitrary requests through the hijacked channel. This issue has been patched in version 2026-05-20.
Title epa4all Security Incident: Implement keystore based on Telematik TSL, implement hostname check and certificate check for lib-vau
Weaknesses CWE-295
CWE-347
References
Metrics cvssV3_1

{'score': 9.1, 'vector': 'CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:N'}

Projects

Sign in to view the affected projects.

cve-icon MITRE

Status: PUBLISHED

Assigner: GitHub_M

Published:

Updated: 2026-07-24T18:26:57.751Z

Reserved: 2026-05-20T17:44:09.587Z

Link: CVE-2026-48021

cve-icon Vulnrichment

No data.

cve-icon NVD

No data.

cve-icon Redhat

No data.

cve-icon OpenCVE Enrichment

No data.

Weaknesses