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Review reviewCritical

CVE-2026-48021

med-united epa4all

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.

CVSS
9.1
EPSS
-
- percentile
CISA KEV
Not listed
Published
2026.07.25
PRIORITY ASSESSMENT

Review review

The CVSS severity warrants an early asset and exposure review.

Known exploitationNot established by KEV
Exploit probability-
Technical severityCVSS 9.1

Vulnerability overview

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.

Affected product and versions

Product
med-united epa4all
Affected versions
>= < 2026-05-20
Fixed versions
No verified fixed-version field is available yet

Recommended response sequence

Confirm exposure before applying a vendor-supported change.

Full remediation guide
  1. 1
    Identify

    Confirm that med-united epa4all and an affected version are present.

  2. 2
    Prioritize

    Combine exploitation signals with asset exposure and business criticality.

  3. 3
    Remediate

    Follow the vendor advisory or supported update path and preserve rollback options.

  4. 4
    Verify

    Recheck the version, service health, access paths, and relevant logs.

Technical data

CVSS vector
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:N
CWE
CWE-295, CWE-347