Maybe it’s the caffeine. I know paniC attacks feel different person to person. Me, I feel like I cannot get enough air to breathe, heart racing, feelings like a very near miss in a car accident, but there will be no danger, and I will keep feeling like that, sometimes over an hour and there is all that adrenaline too..l

Room spinning for me is usually one of 2 things: I have an infection (usually sinus) blocking up my ears and affecting balance. Or I am fainting or about to faint. This is 50/50 with me when they take blood. Once, I even left the doctor’s office after the copay and everything, made it to a traffic light, did a U turn, did make it back inside the PCP’s waiting room, then passed out cold, hitting my head on an end table and chair. (Needless to say, they never forgot who I was ever again). I had major (though superficial) wounds all over my face and many bruises over the rest of me. But mt face bled so much and had tons of scabs and bruises, I didn’t even want to be seen in public until it had healed a good bit.

I am sorry you are having these issues. Maybe try not to have caffeine? Take note of anything else going on. Is it that same coffe shop you met the tattoo guy? Could it be anxiety from that? When do you see the pdoc again?