CVE-2021-44160

7.3 HIGH

📋 TL;DR

CVE-2021-44160 allows remote attackers to bypass authentication in Carinal Tien Hospital Health Report System by modifying cookie parameters. This enables privilege escalation to general user accounts, potentially leading to unauthorized data access or modification. The vulnerability affects systems running the vulnerable version of this healthcare reporting software.

💻 Affected Systems

Products:
  • Carinal Tien Hospital Health Report System
Versions: Specific version information not provided in references, but appears to be a specific implementation for Carinal Tien Hospital
Operating Systems: Unknown - Likely web-based system running on various platforms
Default Config Vulnerable: ⚠️ Yes
Notes: This appears to be a custom healthcare reporting system specific to Carinal Tien Hospital, not a widely distributed commercial product.

📦 What is this software?

⚠️ Risk & Real-World Impact

🔴

Worst Case

Attackers could modify patient health records, disrupt healthcare services, or compromise sensitive medical data, potentially affecting patient care and violating privacy regulations.

🟠

Likely Case

Unauthorized access to patient records, modification of health report data, and service disruption for legitimate users.

🟢

If Mitigated

Limited impact with proper authentication controls, but still represents a security weakness that could be chained with other vulnerabilities.

🌐 Internet-Facing: HIGH - The login page is typically internet-facing, making it directly accessible to remote attackers without network access requirements.
🏢 Internal Only: MEDIUM - Internal attackers could still exploit this, but would need network access to the system.

🎯 Exploit Status

Public PoC: ✅ No
Weaponized: LIKELY
Unauthenticated Exploit: ⚠️ Yes
Complexity: LOW

The vulnerability requires only cookie manipulation, which can be done with basic web testing tools. No authentication is required to initiate the attack.

🛠️ Fix & Mitigation

✅ Official Fix

Patch Version: Unknown specific version - Contact Carinal Tien Hospital IT department

Vendor Advisory: https://www.twcert.org.tw/tw/cp-132-5429-4185b-1.html

Restart Required: Yes

Instructions:

1. Contact Carinal Tien Hospital IT department for patched version
2. Apply the security update provided by the hospital
3. Restart the Health Report System service
4. Verify authentication mechanisms are properly implemented

🔧 Temporary Workarounds

Implement Strong Session Management

all

Add server-side session validation and implement proper authentication checks

Implement server-side session validation in application code
Add authentication middleware that validates user sessions on each request

Web Application Firewall Rules

all

Configure WAF to detect and block cookie manipulation attempts

Configure WAF to monitor for unusual cookie modifications
Set up rules to block requests with manipulated session cookies

🧯 If You Can't Patch

  • Implement network segmentation to restrict access to the Health Report System
  • Deploy a reverse proxy with additional authentication layer and session validation

🔍 How to Verify

Check if Vulnerable:

Test if modifying cookie parameters allows access to other user accounts without proper authentication. Use web testing tools to manipulate session cookies.

Check Version:

Contact Carinal Tien Hospital IT department for version information as this is a custom system

Verify Fix Applied:

Attempt to exploit the vulnerability after patch application. Verify that cookie manipulation no longer allows unauthorized access and proper authentication is enforced.

📡 Detection & Monitoring

Log Indicators:

  • Multiple failed login attempts followed by successful access with modified cookies
  • User accessing accounts not associated with their credentials
  • Unusual cookie parameter modifications in access logs

Network Indicators:

  • HTTP requests with manipulated cookie values
  • Rapid session switching between different user accounts

SIEM Query:

source="web_logs" AND (cookie_manipulation_detected OR user_id_mismatch OR session_hijacking_attempt)

🔗 References

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