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Liabilities related to business combinations and to non-controlling interests - Additional Information (Details)
€ in Millions
12 Months Ended
Dec. 31, 2022
USD ($)
Dec. 31, 2022
EUR (€)
Dec. 31, 2021
EUR (€)
Dec. 31, 2020
EUR (€)
Dec. 31, 2019
EUR (€)
Disclosure Of Liabilities Related To Business Combinations And To Noncontrolling Interests [line items]          
Fair value of contingent consideration payable   € 779 € 714 € 605 € 800
Commitments relating to contingent consideration in connection with business combinations   604 689 1,043  
Bayer contingent consideration          
Disclosure Of Liabilities Related To Business Combinations And To Noncontrolling Interests [line items]          
Payment to sale of business period 10 years        
Milestone payment period 2021        
Fair value of contingent consideration payable   € 26 59 104  
Increase in fair value of liability   1.00%      
Bayer contingent consideration | Top of range          
Disclosure Of Liabilities Related To Business Combinations And To Noncontrolling Interests [line items]          
Potentiel payments related to percentage of sales of alemtuzumab | $ $ 1,250,000,000        
MSD contingent consideration (European vaccines business)          
Disclosure Of Liabilities Related To Business Combinations And To Noncontrolling Interests [line items]          
Fair value of contingent consideration payable   € 204 269 312  
Increase in fair value of liability   1.00%      
Fair value of contingent consideration payable   € 204 269 312 385
Shire contingent consideration          
Disclosure Of Liabilities Related To Business Combinations And To Noncontrolling Interests [line items]          
Increase in fair value of liability   13.00%      
Amunix          
Disclosure Of Liabilities Related To Business Combinations And To Noncontrolling Interests [line items]          
Increase in fair value of liability   1.00%      
Fair value of contingent consideration payable   € 165 € 0 € 0 € 0