The joke is that she has a headache and needs ibuprofen

It's a common meme for there to be a drawing of a random cartoon character missing like half their head going "I got a headache have any ibuprofen"

Eat the Miku
Slay the Miku
Burn the Miku
Perish the Miku

bro you GOTTA be insane

you dont get the joke

I don’t

do you have any ibuprofen? I got a head ache

9r2bm4.gif (click to show)
Lodge an icicle and bash skull inward the moku

Miku
>:'(