Little Barfin' ANNA or BRITTNEY Spews is card 14a/14b in All New Series 1.
A girl is vomiting into a fan. The fan ends up blowing the vomit onto a nearby adult.
Name a is a pun on the comic strip and musical Little Orphan Annie, while name b is a pun on singer Britney Spears.
The card was originally part of Old Series 16 as #656 a.Little Barfin' FANNY/b.BESS Mess. The series was later cancelled.