Anecdotal reports must always be approached with caution. I'm sure you dealt with that a lot as a medical professional. Something like an anxiety disorder, for example, can mimic the effects of a real issue such as COVID or a pending heart attack: fatigue, feeling flushed/warm, chest tightness, chest pain, rapid heart rate, aches, and perceived difficulty breathing.
More time will be needed to get a better idea of how many of these vaccine reaction stories are dealing with issues like the above, where someone was so concerned about the vaccine side effects and COVID in general that they were hyper-attuned to every little issue as being related to the vaccine somehow. Obviously, some people have had major, clear reactions to the vaccine, but that is rare.
I think this actually explains a decent number of the "weird" symptoms for COVID and the vaccine that are routinely repeated by the media. They are not actually related to the vaccine or the virus at all, but people made that connection in their minds, and then others who read or hear about it then make the connection for their own symptoms.
And this may be another of my unpopular opinions, but I am little suspicious of the long-haul symptom talk right now. We need more time and diligence to study that before making a ruling. At one time in the very recent past, for example, experts were sure that asymptomatic carriers were silently spreading COVID all over the place, but recent research is starting to show that isn't the case, making COVID more like basically every other respiratory virus we know about. Those with symptoms are by far the biggest spreaders.