German Chancellor Angela Merkel was seen trembling once again during a ceremony in Berlin today, eight days after a similar incident.
Video showed Mrs Merkel, who is 64, gripping her arms as her body was shaking.
After about two minutes, she looked steadier and shook hands with the new justice minister.
She was offered a glass of water, but did not drink it.
Mrs Merkel had blamed the previous incident on dehydration.
She later set off for the G20 summit in Japan as planned at lunchtime.
German news agency DPA said despite the very hot weather, it was cool during the ceremony in Bellevue Castle, where President Frank-Walter Steinmeier was presenting Justice Minister Christine Lambrecht.