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Principal alliances - Agreements on the commercialization of Beyfortus™ (nirsevimab, previously MEDI8897) in the US (Details) - EUR (€)
€ in Millions
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Apr. 09, 2023
Jul. 31, 2023
Nov. 30, 2022
Mar. 31, 2017
Sep. 30, 2019
Dec. 31, 2023
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Disclosure of Principal Alliances [Line Items]                  
Other non-current liabilities           € 2,340 € 2,340 € 519 € 291
Antibodies Collaboration agreement | AstraZeneca                  
Disclosure of Principal Alliances [Line Items]                  
Collaboration agreements, upfront payment       € 120          
Collaboration agreements, development milestone payment         € 30        
Collaboration agreements, regulatory milestone payment   € 65 € 25            
Commitments related to milestone payments for projects under collaboration agreements           375 375    
Accruals           25 € 25    
Percentage of development costs arising from commercial operations             50.00%    
Antibodies Collaboration agreement | AstraZeneca | Other intangible assets excluding software                  
Disclosure of Principal Alliances [Line Items]                  
Acquisitions and other increases € 1,600                
Antibodies Collaboration agreement | AstraZeneca | Major territories                  
Disclosure of Principal Alliances [Line Items]                  
Percentage of profits arising from commercial operations             50.00%    
Antibodies Collaboration agreement | AstraZeneca | Other territories                  
Disclosure of Principal Alliances [Line Items]                  
Percentage of net sales arising from commercial operations             25.00%    
Antibodies Collaboration agreement | AstraZeneca | China                  
Disclosure of Principal Alliances [Line Items]                  
Percentage of profits arising from commercial operations 50.00%                
Antibodies Collaboration agreement | Swedish Orphan Biovitrum AB                  
Disclosure of Principal Alliances [Line Items]                  
Other non-current liabilities € 1,600         1,960 € 1,960    
Increase through remeasurement of financial liability           € 541