So does this mean anything beyond the literal? Feels a bit like an expression but I can't figure out when anyone would actually say it.
Can be anything, but sounds a bit like a disease or similar....
My first association is someone in a bar or restaurant that asks the barman/waiter for what he drank or ate.
Or maybe when you try to recall some status in the past. For example after playing Mafia card game before opening up your role you may say that as a filler.