A strong quake with a magnitude of 6.2 hit the Indonesian island of Lombok island on Thursday, causing some buildings to collapse, according to witnesses and the Southeast Asian nation's meteorology and geophysics agency.
Motorcycles parked on the street toppled over and the walls of some nearby buildings collapsed.
Officials said the epicenter of the aftershock was on land and so there was no risk of a tsunami.
At least 40,000 homes were destroyed on Sunday and more than 150,000 people are homeless.
South Korean news agency Yonhap reported 42,239 buildings had either collapsed or been badly damaged, and 156,000 people are without shelter.
Sutopo Purwo Nugroho, a spokesman for Indonesia's disaster agency, tweeted videos on Thursday showing what appeared to be new damage to buildings and power lines.
Nyoman Sidekarya, chief of the provincial search and rescue agency that covers the Indonesian island of Lombok, tells The Associated Press that the death toll from the natural disaster that hit the island on Sunday is now 227.
Buildings still standing on the island have been weakened after Sunday's natural disaster.
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Makeshift medical facilities have been set up to treat the injured.
Aid begun trickling into some of the most isolated regions, officials said midday Thursday, but many people displaced by the quake still lack basic supplies.
Rescuers have found three bodies and also managed to pull one man alive from the twisted wreckage of the mosque, reduced to a pile of concrete and metal bars, with its towering green dome folded in on itself.
Thousands of tourists have also left Lombok since Sunday, fearing further earthquakes, some on extra flights provided by airlines and others on ferries to the neighbouring island of Bali.
"We still have supplies for the next few days, but I'm not sure about after that", Billa Rabbani, a spokeswoman from the Peduli Anak orphanage, told AFP.
Other evacuees said they were subsisting on a diet of instant noodles and needed clean water and bedding.
One aid agency, Yayasan Plan International Indonesia, has warned that thousands of children have been left homeless, forced to sleep in open fields without warm clothing or blankets.