Well the filler neck has its own vent tied in to it that vents the tank to the upper portion of the filler neck, you can see it from under the truck. The cap vents the tank. Also a 5/16 line from the tank sender unit up to the vapor can and then to the carb. The 3/8 line from the sender unit feeds the fuel pump.
Sounds like Something is in the lower portion of the filler neck blocking it and/ or the filler vent line is clogged.
Make sure all the lines are clear and not capped off, can you blow thru them. You may have to take the filler neck off and look for an obstruction.
Did this just start or what?