Hello, @aliali - just wanted to clarify that you are asking if the following symptoms you mentioned could indicate a panic attack: headache, upper back pain, dizziness, shivering, accelerated heartbeat?

This Mayo Clinic information may be helpful in defining a panic attack https://www.mayoclinic.org/diseases-conditions/panic-attacks/symptoms-causes/syc-20376021

Are you feeling more settled thus far today, @aliali?