masterpiece, best quality, score_7, @pipsqueak, 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

worst quality, low quality, score_1, score_2, score_3, watermark, bad hands, bad anatomy, jpeg artifacts, ugly, signature, bad eyes, artist name, lowres, displeasing, extra hands, extra fingers