X0306 4 2021-12-06 0 0001253176 VAPOTHERM INC VAPO 0001897951 McKay Dorota 100 DOMAIN DRIVE EXETER NH 03833 0 1 0 0 Chief Accounting Officer Common Stock 2021-12-06 4 A 0 5200 0 A 5200 D Stock Option (right to buy) 21.89 2021-12-06 4 A 0 10400 0 A 2031-12-06 Common Stock 10400 10400 D This award was granted under the Vapotherm, Inc. Amended and Restated 2018 Equity Incentive Plan in the form of restricted stock units. The restricted stock units vest with respect to approximately one-third of the underlying shares on each of the one-year, two-year and three-year anniversaries of the grant date, subject to the Reporting Person's continued service as an employee or other service provider to the Issuer through the vesting dates. This option was granted under the Vapotherm, Inc. Amended and Restated 2018 Equity Incentive Plan and will vest as to 25% of the underlying shares on December 6, 2022, and thereafter, as to the remaining 75% of underlying shares, in 36 monthly installments, subject to the Reporting Person's continued service as an employee or other service provider to the Issuer through the vesting dates. /s/ Adrain Bryant, as Attorney In Fact 2021-12-08