Although conditions were not favorable for a large-scale severe weather event, the possibility of small clusters of thunderstorms existed.

The result of a weak disturbance which passed through the area of slight risk lowered the chances of tornadic thunderstorms developing.

[2] At 12:25 a.m. EST, the Storm Prediction Center (SPC) issued a Tornado watch for most of eastern North Carolina.

A broken line of thunderstorms had already developed and the risk of tornadoes greatly increased, with the chances of an EF2 or stronger touching down reaching 20%.

Large pine trees were snapped and a mobile home was rolled about 20 yards (18 m) before being completely destroyed.

An auto repair shop located along the highway sustained significant damage with all of the bay windows being blown out and 17 nearby storage sheds were destroyed.

Several trees were knocked down onto railroad tracks before the tornado damaged another mobile home and dissipated.

[7] The fourth tornado of the outbreak touched down around 2:45 a.m. EST near Peacocks Crossroads in Johnston County, knocking down several trees, some of which were mature.

Afterwards, the tornado struck a horse farm where it destroyed a small barn and damaged a stable.

[9] The sixth and first killer tornado of the outbreak touched down around 3:10 a.m. EST and snapped several trees.

After traveling for three quarters of a mile, it produced significant structural damage along NC 222 where a brick home was destroyed.

Once in Wilson County, several more mobile homes sustained significant damage before the tornado lifted.

[10][11] The most significant tornado during the outbreak touched down around 3:30 a.m. EST near Harrison Drive where a tree was snapped.

Afterwards, the tornado tracked into Elm City where numerous trees were damaged and a porch was blown off a home.

Several volunteers helped remove trees and debris off roads to make way for aid.

A Methodist church group from Virginia arrived in Johnston and Wilson counties the day after the tornadoes to assist with cleanup efforts.

[16] A fund was set up for the 11-year-old boy, Joshua Wiggens, who was killed by the Elm City tornado.

About $20,000 was spent in the charity effort in Kenly and the governor of Wilson County urged residents who were no affected by the storm to send donations to the Red Cross.

[20] On November 24, an unknown member of the 82nd Airborne Division donated 50 cases of non-perishable food and water to assist victims of the tornado.