To determine if SARS-CoV-2 reactive antibodies were present in sera prior to the first identified case in the U.S. on January 19, 2020, residual archived samples from 7,389 routine blood donations collected by the American Red Cross from December 13, 2019 to January 17, 2020---
These findings suggest that SARS-CoV-2 may have been introduced into the United States prior to January 19, 2020.