There could be two problems. Can't tell which because your description is still a bit too vague.
1. If you do not remove the organic solvent from the precipitated serum, the elution strength of your sample solvent is too strong and the analyte won't stick to the C18. We have done elution protocols with serum on Oasis HLB by first diluting the serum at least 1:1 with acidified water, instead of trying to precipitate the serum. The proteins will wash through the Oasis HLB. The vitamin will stick due to hydrophobic interaction, and should elute with methanol.
2. The elution protocol is not working, and you may need more methanol to elute the analyte. I would run a protocol without serum, sample just dissolved in water or acidified water (see above). You need to check all fractions for the analyte. You should be easily able to quantify, and you can add up the values of the recovered analyte. If something is still missing, methanol is too weak a solvent and you either increase the elution strength by adding some acetonitrile or try to elute with more methanol (You also did not tell us what the size of your SPE is).