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.

Navajo Nation begins a three-week emergency lockdown on Monday, during which residents are required to remain at home 24 hours a day, seven days a week.

Essential businesses, including grocery stores, gas stations, laundromats, hay vendors and restaurants providing drive-thru or curbside service, may remain open on weekdays between 7 a.m. and 7 p.m. Off-reservation travel is not permitted and on weekends, a full lockdown will be in place.

"The Navajo Nation’s health care system is in a state of major crisis," Myron Lizer, vice president of Navajo Nation, said in a statement. "We cannot be careless and we have to stay the course."

The rules include exceptions for essential workers and emergency situations. Residents are permitted to leave their homes for essential food, medicine and supplies, as well as outside exercise within the vicinity of their homes and wood gathering.

The lockdown rules will be in effect until Dec. 28.

There were 192,299 new cases of COVID-19 confirmed in the United States on Monday, according to a real-time count kept by Johns Hopkins University.

It's the 35th straight day that the U.S. has reported over 100,000 newly diagnosed infections. Monday's tally is less than the country's all-time high of 227,885 new cases confirmed on Dec. 4, according to Johns Hopkins data.

An additional 1,404 deaths from the disease were also registered nationwide on Monday, down from a peak of 2,879 fatalities on Dec. 3, according to Johns Hopkins data.

COVID-19 data may be skewed due to possible lags in reporting over Thanksgiving followed by a potentially very large backlog from the holiday.

A total of 14,954,331 people in the U.S. have been diagnosed with COVID-19 since the pandemic began, and at least 283,746 of them have died, according to Johns Hopkins data. The cases include people from all 50 U.S. states, Washington, D.C., and other U.S. territories as well as repatriated citizens.

Much of the country was under lockdown by the end of March as the first wave of pandemic hit. By May 20, all U.S. states had begun lifting stay-at-home orders and other restrictions put in place to curb the spread of the novel coronavirus. The day-to-day increase in the country's cases then hovered around 20,000 for a couple of weeks before shooting back up over the summer.

The numbers lingered around 40,000 to 50,000 from mid-August through early October before surging again to record levels, crossing 100,000 for the first time on Nov. 4 and reaching 200,000 for the first time on Nov. 27.