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Covid may have started earlier in the US. There were people participating in flu studies that were being conducted on the west coast in the fall of 2019 and even though the tests available at the time were not specific to Covid, the flu studies were detecting people who reported the flu like symptoms, submitted samples, tested negative for flu. Then they did more tests and were told they had a coronavirus.

In late 2020 NorthWestern University paid people to come in and take antibody tests and a lot of people who never reported having been ill had Covid antibodies.

The US population was developing antibodies from small viral load exposures in addition to those who got full blown Covid.