BISMARCK — The North Dakota Department of Health urged a pause Tuesday, April 13, on implementation of the Johnson & Johnson vaccine after reports of rare blood clotting.

The announcement followed federal guidance for a pause on use of the single-shot vaccine in response to isolated reports of blood clotting among people who had recently received a Johnson & Johnson shot. The U.S. Centers for Disease Control and Federal Food and Drug Administration reported six cases of blood clotting, each among women between 18 and 48 and years old, and within one to three weeks of receiving the shot.

A North Dakota health department official stressed that the occurrence of the blood clotting disorder has been "one in more than a million" but said that the state was asking healthcare providers to observe the pause "out of an abundance of caution." The department urged residents to continue getting the Pfizer and Moderna vaccines, which have had a highly effective track record with little risk of severe side effects.

Following are the North Dakota Department of Health COVID-19 case rates, deaths, hospitalizations and vaccinations as of Tuesday, April 13. Because all data is preliminary, some numbers and totals may change from one day to the next.

Statewide case rates

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  • NEW CASES: 234
  • TOTAL CASES: 105,039
  • TOTAL RECOVERED: 102,447

North Dakota's active case count increased by 44 on Tuesday. Cass County, which includes Fargo, saw 101 new cases, while Burleigh County, which includes Bismarck, reported 26 new cases. The two-week rolling average positivity rate is 4.8%.

Hospitalizations, deaths



  • TOTAL DEATHS: 1,471

The health department reported the deaths of a Ward County man in his 60s and a Williams County man in his 70s on Tuesday. North Dakota hospitalizations dropped by eight in the latest report.


  • FIRST DOSE ADMINISTERED: 261,884 (44.9% of population)

  • COMPLETED SERIES (2 DOSES): 202,215 (34.6% of population)

The state continues to be a national leader in vaccine distribution, with a total of 478,083 shots administered. The Department of Health was able to replace all scheduled Johnson & Johnson shots this week with Pfizer or Moderna doses, and state officials are awaiting further federal guidance expected later this week. The health department urges residents to seek more information at

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Readers can reach reporter Adam Willis, a Report for America corps member, at