Imbalance is almost always buildup
A fan that was quiet last month and shakes this month usually has buildup on the blades. Product. Condensate. Dust that the filter did not catch. Sometimes it is erosion rather than buildup (one blade is worn thinner than the others, which unbalances the rotor). Both require the same fix: pull the rotor, clean or replace it, and field-balance it before returning to service.

