I suspect I had COVID-19 in the US late December 2019, but as of yet, the CDC doesn't acknowledge that possibility, and I've had enough exposure since that time that there's no reasonable way to test the hypothesis.
At a certain point, some of the investigations stop being practical to investigate further.
I was laid out in bed with the worst upper respiratory infection of my life for most of late December and then again for two more weeks in early January after a brief recovery.
A handful of our coworkers had been in Wuhan in the 3-4 weeks prior.
IIRC, public toilets due to fecal matter were a possible infection vector (I hope I am using the term correctly) [4], which suggests that there had been covid cases since December in Italy as the traces were in waste water [2,3].
Some hypothesise that covid had been circulating in humans long before the market outbreak [5], this hypothesis does seem to corroborate the hypothesis that the virus had long spread before the first 'official' outbreak in Wuhan.
[1] https://www.rfi.fr/en/france/20210311-surprises-about-french...
[2] https://www.independent.co.uk/news/world/europe/coronavirus-...
[3] https://www.bbc.com/news/world-europe-53106444
[4] https://www.forbes.com/sites/jamiegold/2020/06/18/new-scient...
[5] https://www.cbc.ca/radio/quirks/mar-27-covid-pandemic-origin...
It may be very hard to determine if people sick in 2019 had COVID-19 or something else at this time.