Boiled Peanut Oral Immunotherapy

Inclusion Criteria: * Age 1-16 years * History of immediate hypersensitivity reaction to peanut * Evidence of IgE mediated peanut hypersensitivity within a 12 month period of study enrollment * SPT with wheal/flare of at least 3 x 6 mm and/or Peanut specific IgE \>0.35 kU/L Exclusion Criteria: * History of life threatening peanut anaphylaxis * Asthma requiring more than medium dose ICS * Prior participation in oral immunotherapy, sublingual immunotherapy or epicutaneous immunotherapy * Oat allergy * Cardiovascular Disease * Use of beta-blockers (oral), angiotensin converting enzyme inhibitors, angiotensin receptor blockers, or calcium channel blockers * Use of steroid medications in the following manners: * Daily oral steroid dosing for greater than 1 month during the past year * Burst or steroid course in the past 3 month before inclusion * Greater than 2 bursts oral steroid courses in the past year of at least 1 week duration * Pregnancy or lactation * Eosinophilic Gastrointestinal Disease * History of food protein-induced enterocolitis * History of developmental delay or speech delay that precludes age- appropriate communication, in the opinion of the investigator