This exploratory study analyzed the lipid and metabolite cargo of platelet-derived extracellular vesicles (PL-EVs) from human subjects with mild and severe allergic inflammation versus controls. The central result is that PL-EVs exhibit a differential metabolic profile according to inflammation severity, with specific metabolites like ceramides and L-carnitine being more abundant in PL-EVs from mildly allergic patients compared to severe cases.