April 25, 2024

Thomas T. Higgins

Employment Agreement – December 30, 2020

Addendum

On behalf of the Board of Directors of NeuroMetrix, Inc., the Compensation Committee of the Board confirms the following modification to the terms of your employment:

“Other terms – This agreement is extended for an additional term of one (1) year beyond the initial term of three (3) years commencing on January 1, 2021, and ending on December 31, 2023.”

Other terms of your employment agreement dated December 30, 2020 are unchanged.

Please acknowledge your acceptance of this Addendum by signing below.

Sincerely,

NeuroMetrix, Inc.

By:     /s/ David VanAvermaete__________________

    David VanAvermaete

Compensation Committee, Board of Directors

/s/ David Goodman, M.D., MSE____________

David Goodman, M.D., MSE,

Compensation Committee, Board of Directors

Accepted:     /s/ Thomas T. Higgins_____________________

        Thomas T. Higgins.                         Date: April 25, 2024

4 B Gill Street, Woburn, MA 01801 / neurometrix.com / O 781.890.9989