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.
CVE-2026-48021
This critical-severity CVE scores 9.1 under a secondary CVSS source (NVD's own analysis pending). EPSS exploit probability: 0.1%, top 97% of all CVEs by exploit prediction. GitHub Security Advisory data not yet ingested — confidence will rise once GHSA publishes (typical lag: hours to days for open-source ecosystem CVEs; never for infrastructure-only CVEs).
- High severity, but no confirmed exploitation yet
No vendor fix yet — apply a workaround or compensating control (WAF / firewall / segmentation) and watch for a patch.
- CVSS v3
- 9.1
- EG Score
- 9.1(medium)
- EG Risk
- 56(Track)EG Risk 56/100SSVC: Track
EG Risk is EchelonGraph's 0–100 priority score: it fuses intrinsic severity with real-world exploitation and automatability so you can rank equal-severity CVEs and fix the most dangerous first. Higher = act sooner. Distinct from the 0–10 EG Score (severity).
How it’s computedSeverity91% × 45%Exploitation0% × 40%Automatability100% × 15%Action: Routine — remediate on your standard cadence. - EPSS PROB
- 0%
- EPSS %ILE
- 3%
- KEV
- Not listed
Published
July 24, 2026
Last Modified
July 25, 2026
Advisory Details (3)
Auto-updated Jul 24, 2026CVE-2026-48021: VAU Server Spoofing Patient-Data MITM in epa4all
https://www.machinespirits.com/advisory/aa49f02026-05-20
Patch available: med-united/epa4all 2026-05-20
https://github.com/med-united/epa4all/releases/tag/2026-05-20VAU Server Authentication Bypass via Missing A_24624-01 Verification in epa4all · Advisory · med-united/epa4all · GitHub
https://github.com/med-united/epa4all/security/advisories/GHSA-vvh7-x6c7-46ghWeakness Classification(2)
MITRE Common Weakness Enumeration — the root-cause categories this CVE belongs to.
Data Freshness Timeline
(refreshed 5× in last 7d / 5× in last 30d)
Each row is a source pipeline that fetched or updated this CVE on that date, with what changed. For example, "NVD update" means NVD published or revised its analysis for this CVE; "MITRE cvelistV5" means we ingested or refreshed it from the CNA feed. Most recent first.
- 2026-07-26 13:57 UTCEG score recompute
- 2026-07-26 02:56 UTCEG score recompute
- 2026-07-25 14:18 UTCEPSS rescore
- 2026-07-24 18:32 UTCEG score recompute
- 2026-07-24 18:31 UTCMITRE cvelistV5first tracked
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Dependency Blast Radius
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