Like many Brazilian WhatsApp audios, this clip circulated as a short voice note before it was picked up by meme soundboards, where its exaggerated cough made it easy to reuse outside its original chat context. The repeated uiuiui chant gives it a recognisable hook, while the final burst makes it instantly readable even without any visual explanation. That combination has kept it in circulation as a reaction sound for illness jokes, disgusted responses and over-the-top sick-day memes, especially in short-form edits and group-chat humour.