1girl, solo, koiiro byoutou (vocaloid), vocaloid, official alternate costume, official alternate hairstyle, :o, aqua eyes, aqua hair, dress, hat, heart, holding large syringe, nurse, nurse cap, pink dress, pink hat, short sleeves, thighhighs, twintails, white wings, pink background, sparkles, upper body, floating hair, hospital, best quality, masterpiece, highly detailed, score_7, @piinatsuu

worst quality, low quality, score_1, score_2, score_3, watermark, bad hands, bad anatomy, jpeg artifacts, ugly, bad eyes, signature, multiply girls