CVE-2026-50577
NVD analysis in progress
ePA 3.x Integration implements the authorization workflow and writes Medical Information Objects to Germany's electronic patient record. Prior to 1.3.0, ePA 3.x Integration leaves request_counter unchanged in app/vau/VAUProtokoll.py while constructing VAU messages. The frozen client request counter causes the server side to reuse AES-GCM nonce and key combinations across responses. A network attacker who collects repeated ciphertexts can recover the XOR of plaintexts and use predictable inner HTTP headers and JSON fields to recover sensitive data, including patient health records. Repeated nonces can also enable recovery of the GHASH authentication key through the Joux forbidden attack, allowing forged AES-GCM messages and injection of malicious responses. The response-counter check also fails to maintain last_response_counter, weakening replay and ordering validation. This issue is fixed in version 1.3.0.
What this means
- Exposure
- Exploitable remotely over the network, without authentication and with no action from the victim. The attack does require particular conditions, which makes it less systematic.
- Impact
- An attacker can read sensitive data and modify or destroy data.
- Likelihood
- Its EPSS score stays low: nothing points to imminent exploitation, which is no reason to leave it unpatched.
What to doFold into the next patch cycle. Start with the instances exposed to the internet.
Read automatically from the CVSS vector, the weakness type (CWE) and the EPSS score. The technical description above remains the one published by NIST.