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Basis of Presentation and Significant Accounting Policies - Summary of Change in Accounting Principle (Details) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended 9 Months Ended
Oct. 03, 2021
Sep. 27, 2020
Oct. 03, 2021
Sep. 27, 2020
Dec. 31, 2020
Condensed Consolidated Statements of Income:          
Other (income)/deductions––net $ (1,696) $ 1,878 $ (3,697) $ 1,114  
Income from continuing operations before provision/(benefit) for taxes on income 7,836 570 20,128 6,438  
Provision/(benefit) for taxes on income (331) (347) 1,518 434  
Income/(loss) from discontinued operations––net of tax (9) 560 24 2,334  
Net income before allocation to noncontrolling interests 8,159 1,477 18,633 8,338  
Net income attributable to Pfizer Inc. common shareholders $ 8,146 $ 1,469 $ 18,586 $ 8,313  
Earnings per common share––basic:          
Income from continuing operations attributable to Pfizer Inc. common shareholders (in dollars per share) $ 1.45 $ 0.16 $ 3.32 $ 1.08  
Income/(loss) from discontinued operations––net of tax (in dollars per share) 0 0.10 0 0.42  
Net income attributable to Pfizer Inc. common shareholders (in dollars per share) 1.45 0.26 3.32 1.50  
Earnings per common share––diluted:          
Income from continuing operations attributable to Pfizer Inc. common shareholders (in dollars per share) 1.42 0.16 3.26 1.06  
Income/(loss) from discontinued operations––net of tax (in dollars per share) 0 0.10 0 0.42  
Net income attributable to Pfizer Inc. common shareholders (in dollars per share) $ 1.42 $ 0.26 $ 3.27 $ 1.48  
Condensed Consolidated Statements of Comprehensive Income:          
Foreign currency translation adjustments, net $ (866) $ 1,403 $ (366) $ (27)  
Benefit plans: actuarial gains/(losses), net 0 0 0 0  
Reclassification adjustments related to amortization 0 0 0 0  
Reclassification adjustments related to settlements, net 0 0 0 0  
Other 0 0 0 0  
Tax provision/(benefit) on other comprehensive income/(loss) (65) (19) (44) (311)  
Condensed Consolidated Statements of Cash Flows:          
Deferred taxes from continuing operations     (3,702) (735)  
Benefit plan contributions in excess of expense/income     (1,933) (760)  
Condensed Consolidated Balance Sheets:          
Noncurrent deferred tax assets and other noncurrent tax assets 2,755   2,755   $ 2,383
Other noncurrent assets 6,705   6,705   4,569
Pension benefit obligations 3,676   3,676   4,766
Retained earnings 102,252   102,252   90,392
Accumulated other comprehensive loss (5,649)   (5,649)   (5,310)
Previous Accounting Principle [Member]          
Condensed Consolidated Statements of Income:          
Other (income)/deductions––net (641) 889 (2,414) 232  
Income from continuing operations before provision/(benefit) for taxes on income 6,782 1,559 18,845 7,320  
Provision/(benefit) for taxes on income (561) (104) 1,237 647  
Income/(loss) from discontinued operations––net of tax (9) 539 24 2,374  
Net income before allocation to noncontrolling interests 7,334 2,202 17,631 9,046  
Net income attributable to Pfizer Inc. common shareholders $ 7,322 $ 2,194 $ 17,584 $ 9,022  
Earnings per common share––basic:          
Income from continuing operations attributable to Pfizer Inc. common shareholders (in dollars per share) $ 1.30 $ 0.30 $ 3.14 $ 1.20  
Income/(loss) from discontinued operations––net of tax (in dollars per share) 0 0.10 0 0.43  
Net income attributable to Pfizer Inc. common shareholders (in dollars per share) 1.30 0.39 3.14 1.62  
Earnings per common share––diluted:          
Income from continuing operations attributable to Pfizer Inc. common shareholders (in dollars per share) 1.27 0.29 3.08 1.18  
Income/(loss) from discontinued operations––net of tax (in dollars per share) 0 0.10 0 0.42  
Net income attributable to Pfizer Inc. common shareholders (in dollars per share) $ 1.27 $ 0.39 $ 3.09 $ 1.60  
Condensed Consolidated Statements of Comprehensive Income:          
Foreign currency translation adjustments, net $ (961) $ 1,609 $ (354) $ 96  
Benefit plans: actuarial gains/(losses), net 836 (1,211) 881 (1,372)  
Reclassification adjustments related to amortization 74 67 222 200  
Reclassification adjustments related to settlements, net 139 174 162 240  
Other 95 (206) (11) (123)  
Tax provision/(benefit) on other comprehensive income/(loss) (89) (262) (20) (527)  
Condensed Consolidated Statements of Cash Flows:          
Deferred taxes from continuing operations     (3,983) (522)  
Benefit plan contributions in excess of expense/income     (650) (1,642)  
Condensed Consolidated Balance Sheets:          
Noncurrent deferred tax assets and other noncurrent tax assets 3,012   3,012   2,383
Other noncurrent assets 6,687   6,687   4,569
Pension benefit obligations 3,677   3,677   4,766
Retained earnings 101,250   101,250   96,770
Accumulated other comprehensive loss (4,408)   (4,408)   (11,688)
Impact of Change [Member]          
Condensed Consolidated Statements of Income:          
Other (income)/deductions––net (1,055) 989 (1,283) 881  
Income from continuing operations before provision/(benefit) for taxes on income 1,055 (989) 1,283 (881)  
Provision/(benefit) for taxes on income 230 (243) 281 (213)  
Income/(loss) from discontinued operations––net of tax 0 21 0 (40)  
Net income before allocation to noncontrolling interests 825 (724) 1,002 (709)  
Net income attributable to Pfizer Inc. common shareholders $ 825 $ (724) $ 1,002 $ (709)  
Earnings per common share––basic:          
Income from continuing operations attributable to Pfizer Inc. common shareholders (in dollars per share) $ 0.15 $ (0.13) $ 0.18 $ (0.12)  
Income/(loss) from discontinued operations––net of tax (in dollars per share) 0 0 0 (0.01)  
Net income attributable to Pfizer Inc. common shareholders (in dollars per share) 0.15 (0.13) 0.18 (0.13)  
Earnings per common share––diluted:          
Income from continuing operations attributable to Pfizer Inc. common shareholders (in dollars per share) 0.15 (0.13) 0.18 (0.12)  
Income/(loss) from discontinued operations––net of tax (in dollars per share) 0 0 0 (0.01)  
Net income attributable to Pfizer Inc. common shareholders (in dollars per share) $ 0.15 $ (0.13) $ 0.18 $ (0.13)  
Condensed Consolidated Statements of Comprehensive Income:          
Foreign currency translation adjustments, net $ 95 $ (206) $ (11) $ (123)  
Benefit plans: actuarial gains/(losses), net (836) 1,211 (881) 1,372  
Reclassification adjustments related to amortization (74) (67) (222) (200)  
Reclassification adjustments related to settlements, net (139) (174) (162) (240)  
Other (95) 206 11 123  
Tax provision/(benefit) on other comprehensive income/(loss) 23 $ 243 (24) 215  
Condensed Consolidated Statements of Cash Flows:          
Deferred taxes from continuing operations     281 (213)  
Benefit plan contributions in excess of expense/income     (1,283) $ 881  
Condensed Consolidated Balance Sheets:          
Noncurrent deferred tax assets and other noncurrent tax assets (257)   (257)   0
Other noncurrent assets 18   18   0
Pension benefit obligations 0   0   0
Retained earnings 1,002   1,002   (6,378)
Accumulated other comprehensive loss $ (1,241)   $ (1,241)   $ 6,378