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Derivative instruments - Summary of Amount Recorded in Income & Expense (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Derivative Instruments, Gain (Loss) [Line Items]        
Product sales $ 6,986 $ 6,594 $ 13,091 $ 12,832
Other (expense) income, net (318) (317) 1,746 (847)
Interest expense, net (752) (328) (1,295) (623)
Interest rate swap agreements        
Derivative Instruments, Gain (Loss) [Line Items]        
Gains (losses) on fair value hedging relationships, Hedged items 93 157 5 494
Gains (losses) on fair value hedging relationships, Derivatives designated as hedging instruments (72) (135) 42 (450)
Reclassification out of Accumulated Other Comprehensive Income | Cash flow hedges | Cross-currency swap contracts        
Derivative Instruments, Gain (Loss) [Line Items]        
Other (expense) income, net 51 (185) 29 (263)
Product sales        
Derivative Instruments, Gain (Loss) [Line Items]        
Product sales 6,683 6,281 12,529 12,012
Product sales | Reclassification out of Accumulated Other Comprehensive Income | Cash flow hedges | Foreign currency forward contracts        
Derivative Instruments, Gain (Loss) [Line Items]        
Product sales $ 36 $ 53 $ 88 $ 80