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Inventory - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2025
Inventory [Line Items]      
Inventory write-down $ 38 $ 42  
Inventory, firm purchase commitment, loss 0 $ 10  
Inventory, gross $ 263   $ 267
Inventory, shelf life 3 years    
mNEXSPIKE Vaccine      
Inventory [Line Items]      
Inventory, shelf life 12 months    
RSV Vaccine      
Inventory [Line Items]      
Inventory, shelf life 18 months    
Minimum | COVID Vaccine      
Inventory [Line Items]      
Inventory, shelf life 9 months    
Maximum | COVID Vaccine      
Inventory [Line Items]      
Inventory, shelf life 12 months