Coronavirus updates: 1st vaccines now on the way to all 50 US states

The number of Americans hospitalized with COVID-19 related issues rose to another record high Monday, according to the COVID Tracking Project.

There were 102,148 patients in hospitals, 20,098 of whom were in ICUs and 7,073 who were on ventilators, according to the project.

The seven-day average of hospitalizations is also at a record, with 100,814, the health data showed.

"Hospitalizations are rising in 31 states from 2 weeks ago," the tracking project tweeted.

By comparison, hospitalizations previously peaked around 60,000 in April and late July, according to the health data.

The country recorded 180,193 new cases on Monday, the tracking project reported. The seven-day average of new cases is at a record high of 196,882, according to the health data.

There were 1,347 new deaths recorded Monday, according to the tracking project. The seven-day average of daily deaths also reached a record high at 2,204, the health data showed.

"The 7-day average for deaths are at record levels in the Midwest, South, and West," the tracking project tweeted.

After a slowdown in reporting and testing over the Thanksgiving holiday, week-over-week data shows dramatic increases in new cases and new deaths in the U.S., according to an internal memo from the United States Department of Health and Human Services that was obtained by ABC News.

From Dec. 1 to Dec. 7, the country recorded 1,341,309 new cases, which was an 18.8% jump from the previous seven-day period, according to the memo.

During that same period, the U.S. saw 15,202 new coronavirus related deaths, which was a 50.6% increase compared with the previous week, HHS said.

About 29% of the nation's hospitals have more than 80% of their ICU beds filled, the memo said.

-ABC News' Josh Margolin

The Trump administration declined additional doses of the Pfizer coronavirus vaccine late this summer when the pharmaceutical company offered them to the U.S. government, a senior Trump administration official familiar with the matter confirmed to ABC News.

Pfizer may be unable to produce more of the vaccine for United States citizens until June 2021 because it has committed those doses to other countries.

"The U.S. government placed an initial order of 100 million doses for Pfizer-BioNTech’s COVID-19 vaccine, and Pfizer is ready to begin shipping initial doses soon after receiving an Emergency Use Authorization from the FDA," Pfizer told ABC News in a statement.

"Any additional doses beyond the 100 million are subject to a separate and mutually-acceptable agreement. The company is not able to comment on any confidential discussions that may be taking place with the U.S. government."

The development was first reported by New York Times.

-ABC News' Josh Margolin and Eric Strauss contributed to this report.

On Friday, hospitals in Massachusetts will stop offering elective surgeries that can be safely postponed, Gov. Charlie Baker said at a press conference Monday afternoon.

"This action will free up unnecessary staffing and beds," Baker said. "We all know we're in the midst of a second surge. We're seeing a higher number of new cases each day. And in turn, an increase in hospitalizations statewide."

On Sunday, Massachusetts reported 4,747 new infections and a seven-day average testing positivity rate of 5.3%. There are 1,416 people currently hospitalized with COVID-19.

Despite the worsening statistics, the state is better prepared this time around, Baker insisted. In addition to reallocating hospitals resources, the state is ramping up and winterizing testing sites, stockpiling PPE and preparing two field hospitals in Worcester and Lowell.

-ABC News' Kelsey Walsh contributed to this report.