The US crossed the threshold on the same day health care workers rolled up their sleeves for Pfizer's Covid-19 shot, marking the start of the biggest vaccination campaign in American history.
If a second vaccine is authorised soon, as expected, 20 million people could be immunised by month's end.
Meanwhile, a sea change in Washington is fast approaching after an election that was, in large part, a referendum on the Trump administration's handling of the virus. President-elect Joe Biden has made clear that his first priority will be a comprehensive and disciplined effort to defeat the outbreak.
The death toll was reported by Johns Hopkins University from data supplied by health authorities across the US. The real number of lives lost is believed to be much higher, in part because of deaths that were not accurately recorded as coronavirus-related during the early stages of the crisis.
Globally the virus is blamed for more than 1.6 million deaths.
Experts say it could take well into spring for the shots and other measures to bring cases and deaths under control in the US.
With cold weather driving people inside, where the virus spreads more easily, and many Americans disdainful of masks and other precautions, some public health authorities project 100,000 more could die before the end of January.
"We are heading into probably the worst period possible because of all the things we had in the spring, which is fatigue, political resistance, maybe the loss of all the goodwill we had about people doing their part," said Jennifer Nuzzo, a public health researcher at Johns Hopkins.
Nuzzo contrasted the government's scattershot response with the massive mobilisation undertaken after nearly 3000 Americans were killed in the September 11, 2001, terrorist attacks.
"To think now we can just absorb in our country 3000 deaths a day as though it were just business as usual, it just represents a moral failing," she said.