Diary entries written by Anthony S. Fauci are offering a new look at private tensions inside the U.S. response to the coronavirus pandemic. The notes, released by Sen. Rand Paul, center on the longtime National Institutes of Health scientist who played a leading public role during the crisis before leaving government service in late 2022.

According to the report, Fauci’s writings describe frustration with President Donald Trump, including references to Trump as “rambling.” The diary also points to a deeper internal struggle over how officials should respond as the outbreak unfolded, highlighting disagreements behind the scenes during one of the most closely watched public health emergencies in recent history.

The material also appears to touch on Fauci’s own public profile as his visibility grew during the pandemic. That combination of policy conflict, political tension and personal reflection is likely to renew debate over how the U.S. government handled key moments in the COVID-19 response.

Because the released excerpts are limited, the broader context of each entry is still important. Even so, the diary adds another layer to the long-running scrutiny of Fauci, Trump and other officials whose decisions shaped the federal response to the pandemic.