I have read in the Gemara (Berachoth 24B) that sneezing during the Shemonei Esrei is a sign that your tefillot have been accepted. "Just as you have been granted relief below, so you have been granted relief above."
This occasionally happens to me, but I am not sure what to make of it. I cannot necessarily tell what I have done right, since it seems unrelated to my kavanah or behaviour at the time.
Should I just view it as a pat on the back, or something more significant?