In the following months, the image received viral spread online through reposts on Reddit and Instagram. For example, on January 20th, 2019, Redditor datrifcemstr reposted the image to /r/comedyheaven subreddit, where it gained over 16,300 upvotes.
The earliest memes based on the image started to appear in late January 2019 on Reddit. On 21st, Redditor MrMonsterx posted the first known meme based on the image to /r/okbuddyretard subreddit, where it gained over 1,700 upvotes in six months (shown below, left). On January 22nd, 2019, Redditor Fish___Face posted another edit based on the image to /r/ComedyNecrophilia subreddit, where it gained over 200 upvotes (shown below, right).