German Chancellor Angela Merkel was seen shaking for the third time in a month during a ceremony in Berlin with Finnish PM Antti Rinne.
However, Angela Merkel, 64, insists there is no need to worry.
Video footage shows the chancellor trembling, shaking back and forth alongside Finland’s prime minister during a ceremony in Berlin on July 10.
After the incident, she said she was “very well” and there was “no need to worry”.
A government spokesperson said the chancellor would continue meetings as planned.
Angela Merkel was last seen shaking two weeks ago ahead of a trip to Japan for the G20 summit. She told journalists at the summit she was fine.
On July 10, she gripped her hands as she tried to control her shaking, standing alongside Antti Rinne.
Angela Merkel was first seen shaking last month during a welcome ceremony in Berlin for Ukrainian President Volodymyr Zelensky.
In a press conference on July 10, Angela Merkel said she was “working through what happened during the military honors with President Zelensky.”
She added: “This process is clearly not finished yet but there is progress and I must live with this for a while but I am very well and you don’t need to worry about me.”
Her spokeswoman, Ulrike Demmer, was questioned by German media as to why the government had not provided any information on the chancellor’s health. The spokeswoman said she had “nothing to add”.
Angela Merkel’s office has repeatedly dismissed concerns about her health.
Following her second shaking incident, a health specialist, Dr. Christoph Specht, said that the chancellor could have contracted an infection. He said shivering indicated an infection that was flaring up again.
German media have reacted with alarm to Angela Merkel’s health scare.
“The health of Angela Merkel is now a political issue,” an editorial in the Bild newspaper read.
Angela Merkel is now in her fourth term as chancellor, a role she first began in November 2005. She has said she will leave politics when her current term ends in 2021.
Angela Merkel has been in good health while in office, and even worked from home after a knee operation in 2011. She also suffered a fall while skiing in 2014. Her absences were only brief on those occasions.