CVE-2025-54459 | Vertikal Systems Hospital Manager Backend Services Exposure of Sensitive System Information to an Unauthorized Control Sphere

Prior to September 19, 2025, the Hospital Manager Backend Services exposed the ASP.NET tracing endpoint /trace.axd without authentication, allowing a remote attacker to obtain live request traces and sensitive information such as request metadata, session identifiers, authorization headers, server variables, and internal file paths.

Published: 2025-10-29 Last update: 2025-11-06 Assigner: [email protected] Source: [email protected]
NVD Status：Analyzed，CVE State: published
View at NVD, CVE.org, EUVD

CVE-2025-54459 is rated Moderate Risk (46.8/100): CVSS High severity, with low exploitation likelihood (EPSS 0.14%). Review affected assets and schedule remediation.

Risk is dynamic; we continuously reassess and refresh what is shown on this page as upstream context changes.

Exploit prediction scoring system (EPSS) score for CVE-2025-54459

EPSS lead: Daily EPSS estimates relative likelihood of exploitation; percentile ranks this CVE among scored vulnerabilities (higher = more severe relative rank).

# Date Old EPSS score New EPSS score Delta (New - Old)
1 2026-06-04 0.16% 0.14% -0.01%
2 2025-11-30 0.14% 0.16% +0.01%
3 2025-11-23 — 0.14% —

Full EPSS history (7 records total)

Common vulnerability scoring system (CVSS) metrics for CVE-2025-54459

CVSS metrics for this CVE.

Base score Version Severity Vector Exploitability Impact Score source
8.7 4.0 HIGH
CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:H/VI:N/VA:N/SC:N/SI:N/SA:N/E:X/CR:X/IR:X/AR:X/MAV:X/MAC:X/MAT:X/MPR:X/MUI:X/MVC:X/MVI:X/MVA:X/MSC:X/MSI:X/MSA:X/S:X/AU:X/R:X/V:X/RE:X/U:X Click to expand
Attack vector (AV:N)
Could be attacked over the internet or any normal routed network.
Attack complexity (AC:L)
Exploitation conditions are straightforward and stable.
Attack requirements (AT:N)
No additional preconditions are required beyond normal reachability.
Privileges required (PR:N)
No privileges are required.
User interaction (UI:N)
No user interaction is required.
Vulnerable system confidentiality impact (VC:H)
High confidentiality impact on the vulnerable system.
Vulnerable system integrity impact (VI:N)
No integrity impact on the vulnerable system.
Vulnerable system availability impact (VA:N)
No availability impact on the vulnerable system.
Subsequent system confidentiality impact (SC:N)
No confidentiality impact on subsequent systems.
Subsequent system integrity impact (SI:N)
No integrity impact on subsequent systems.
Subsequent system availability impact (SA:N)
No availability impact on subsequent systems.
Exploit maturity (threat) (E:X)
Not defined: no reliable threat intelligence; scoring assumes the worst case (equivalent to Attacked).
Confidentiality requirement (CR:X)
Not defined: insufficient information; scoring treats this like High (worst case).
Integrity requirement (IR:X)
Not defined: insufficient information; scoring treats this like High (worst case).
Availability requirement (AR:X)
Not defined: insufficient information; scoring treats this like High (worst case).
Modified attack vector (MAV:X)
Not defined: scoring uses the Base Attack Vector (AV).
Modified attack complexity (MAC:X)
Not defined: scoring uses the Base Attack Complexity (AC).
Modified attack requirements (MAT:X)
Not defined: scoring uses the Base Attack Requirements (AT).
Modified privileges required (MPR:X)
Not defined: scoring uses the Base Privileges Required (PR).
Modified user interaction (MUI:X)
Not defined: scoring uses the Base User Interaction (UI).
Modified vulnerable system confidentiality impact (MVC:X)
Not defined: scoring uses the Base VC metric.
Modified vulnerable system integrity impact (MVI:X)
Not defined: scoring uses the Base VI metric.
Modified vulnerable system availability impact (MVA:X)
Not defined: scoring uses the Base VA metric.
Modified subsequent system confidentiality impact (MSC:X)
Not defined: scoring uses the Base SC metric.
Modified subsequent system integrity impact (MSI:X)
Not defined: scoring uses the Base SI metric.
Modified subsequent system availability impact (MSA:X)
Not defined: scoring uses the Base SA metric.
Safety (supplemental) (S:X)
Not evaluated.
Automatable (supplemental) (AU:X)
Not evaluated.
Recovery (supplemental) (R:X)
Not evaluated.
Value density (supplemental) (V:X)
Not evaluated.
Vulnerability response effort (supplemental) (RE:X)
Not evaluated.
Provider urgency (supplemental) (U:X)
Not evaluated.
 — — [email protected]
7.5 3.1 HIGH
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:N/A:N Click to expand
Attack vector (AV:N)
Could be attacked over the internet or any normal routed network—not just someone sitting at the machine.
Attack complexity (AC:L)
Once they can reach the bug, pulling it off is straightforward—no weird race conditions or rare setup.
Privileges required (PR:N)
No account or special rights needed—anonymous or random user is enough.
User interaction (UI:N)
Nobody has to click “OK” or open a trap file; it can work without a victim helping.
Scope (S:U)
Damage stays in the same “trust bubble” as the broken component—no big spill into unrelated systems.
Confidentiality (C:H)
Serious risk that confidential data gets exposed in a big way.
Integrity (I:N)
Data isn’t meaningfully altered or forged.
Availability (A:N)
Service keeps running; no real outage angle.
 3.9 3.6 [email protected]

Weakness enumeration for CVE-2025-54459

Affected software / configurations for CVE-2025-54459

Vendor Product Version Raw CPE
vertikalsystems hospital_manager_backend_services <= 2025-09-19 cpe:2.3:a:vertikalsystems:hospital_manager_backend_services:*:*:*:*:*:*:*:*

References for CVE-2025-54459

URL Tags
https://www.cisa.gov/news-events/ics-medical-advisories/icsma-25-301-01 Mitigation Third Party Advisory US Government Resource
cvelogic Threat Intelligence