Have there been any reported cases of FPIES due to chocolate? I have a 4 year-old patient who has had forceful vomiting two or three tmes with some lethargy/fatigue starting 90 to 120 minutes after chocolate ingestion on seven occasions. This only occurs after eating chocolate and only starts 90 to 120 minutes after chocolate ingestion. No problems from soy, milk, egg, rice, oat or any other food - just chocolate. No hives, swelling, respiratory symptoms or symptoms other than the vomiting leading to some lethargy on the seven occasions she ate chocolate. I've not heard of FPIES from chocolate but this sounds like it. Your thoughts?