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TI-2026-37298 Aliases CVE-2026-50577

ePA 3.x Integration: AES-GCM Nonce Reuse via Frozen VAU Request Counter

Priority LOW 35CWE-323Published · Updated

Key facts

Attack vector
Network
Privileges required
None
User interaction
None
Attack complexity
High
Impact type
—
Confidentiality · integrity · availability
High · High · None
Fix status
Fixed

Attack profile from CVSS 3.1 · CNA. Fix status from CNA.

Summary

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.

Why it matters now

Exploitation None reported CISA SSVC · not in CISA KEV
EPSS 0.00513 44th percentileScored 2026-11-07
Fix Fixed ePA3-Service-OpenSource (fbeta-GmbH): 1.3.0

SSVC decision points

CISA ADP · SSVC 2.0.3

Exploitation
None
Automatable
No
Technical impact
Total

The decision (Track, Attend, Act) also depends on your mission and well-being impact; see CISA's SSVC guide.

Affected products

VendorProductAffected versionsFixed inStatusSource
fbeta-GmbHePA3-Service-OpenSourcebefore 1.3.01.3.0Patch availableCNA
  • ePA3-Service-OpenSource Vendorfbeta-GmbH Affected before 1.3.0 Fixed in 1.3.0 Patch available CNA

Remediation

  • Fix · CNA ePA3-Service-OpenSource (fbeta-GmbH) Fixed in 1.3.0

Timeline

  1. 2026-10-02 Threatist record created from CVE-2026-50577

References

  • TI-2026-37843 ePA 3.x Integration: VAU Server Authentication Bypass via Circular Certificate Trust CVSS 3.1CRITICAL 9.1
  • TI-2026-37299 ePA 3.x Integration: TLS Certificate Verification Universally Disabled CVSS 3.1HIGH 7.5
  • TI-2026-37297 ePA 3.x Integration: HTTP Header Injection in VAU Inner Requests CVSS 3.1MEDIUM 6.8

Sources

This product uses the NVD API but is not endorsed or certified by the NVD. Sources and licences