The first vaccines in the U.S. have now left the Pfizer facility and are on their way to all 50 states.

Two main trucks left on Sunday morning -- an additional truck will come in later to pick up a few boxes and take them to the U.S. territories.

On Monday Pfizer has an order for another 400 boxes of the vaccine as well as an order for a slightly less amount of boxes on Tuesday, the company said.

The first shipments are expected to arrive at 145 sites on Monday, 425 sites on Tuesday and another 66 sites on Wednesday, Gen. Gus Perna of the Trump administration's Operation Warp Speed vaccine program said.

At those sites, the vaccines will be paired with ancillary kits to assist with the vaccinations. The kits contain needles, syringes, alcohol swabs, diluent, safety gear and vaccine reminder cards.

-ABC News' Joshua Hoyos and Luis Martinez

FedEx has begun its shipment process of the Pfizer vaccine in the U.S. on Sunday morning, the company posted on Twitter.

Starting Wednesday, Dec. 16 through Jan. 10, all non-essential stores and schools will be closed in Germany and social meetings will be limited to five people from two households, with an exception made for the Christmas period from Dec. 24 to Dec. 26 when four more people beyond a household will be allowed.

No exceptions will be made for New Year's Eve.

COVID-19 transmissions remain high in the country despite softer restrictions in place. As of Dec. 13, the Robert Koch Institute reported a total of 20,2000 new cases and 321 deaths, bringing the totals to 1,320,716 and 21,787, respectively.

Germany had initially planned for a "semi-lockdown," allowing for a holiday exemption from Dec. 23 to Jan 1 where up to 10 people from two households could meet but those plans were scrapped in favor of these new rules.

ABC News' Christine Theodorou contributed to this report.

At least 16,062,299 Americans have been diagnosed with coronavirus, according to the latest data compiled by Johns Hopkins University.

There are currently over 108,000 Americans hospitalized with COVID-19 nationwide and current hospitalizations have increased by nearly 10% since the beginning of the month.

The U.S. is now averaging nearly 2,400 new coronavirus related deaths a day -- 2,379 to be exact -- which surpasses the country's previous peak in April.

This week alone, 16,653 COVID-19 related deaths were recorded which is nearly 100 American deaths reported every hour.

Additionally, according to data collected by Johns Hopkins University, Friday marked the U.S. highest single-day new case total, with 231,775 new cases.

ABC News' Ahmad Hemingway contributed to this report.

U.S. Surgeon General Jerome Adams urged people to take the coronavirus pandemic seriously and follow public health guidelines as infections and hospitalizations soar across the country.

"I want the American people to know this virus is incredibly unforgiving, cases are going up, hospitalizations are going up, my colleagues are dog-tired and we need you to hang on just a little bit longer because we've got vaccines coming but we want as many people to be alive to get them as possible and a lot of that is going to depend on your behavior," Adams told ABC News chief anchor George Stephanopoulos in an interview Monday on "Good Morning America."

Although "more people than ever are wearing masks," Adams said he's "very" concerned by the number of people who still "don't understand how much spread is occurring by people who don't have symptoms."

About 20 million "full doses" of COVID-19 vaccines will be available by the end of the year, according to Adams, who urged every American to be immunized against the virus as soon as a vaccine is authorized and made available.

"It's a way that we can ultimately end this pandemic, but it doesn't matter if people won't get the vaccination," the surgeon general said. "We know that vaccine levels are only about 50% for adults for flu and they go down to about 40% for African-Americans."

Adams said he is working with historically black colleges and universities as well as faith communities to bolster vaccine confidence among all populations. The White House is also hosting a vaccine summit Tuesday, he said.

"One thing you can all do right now, it's national flu immunization week, get your flu shot because half a million people were hospitalized last year with the flu," Adams said. "We simply can't afford for that to happen this year with hospitals being overwhelmed."

The surgeon general said the current surge in infections across the country "is different than earlier surges," because it's not about a lack of masks or personal protective equipment, nor is it due to a lack of testing.

"It's really about health care capacity, and certain places are just being overwhelmed," he said. "So we know that we can actually help them with their health care capacity by immunizing their health care staff. We're going to leave it up to the states, but we're going to give them guidance."

Adams noted it's also important to vaccinate those who are most likely to die from COVID-19.

"We know that 40 to 50% of the deaths are occurring in people who are in longterm care facilities who are older," he said.