The death toll from the earthquake has risen to as many as 228 in Pakistan and as many as 63 in Afghanistan. The authorities of the two countries said that hundreds of people were injured.
In the Afghani city of Taloqah 12 girls were killed in a stampede when people rushed out of a school hit by the earthquake.
The earthquake was felt as far away as Qatar, over 2,000 km away.
A 7.7 magnitude earthquake struck Afghanistan's northeastern Hindu Kush region, the US Geological Survey said earlier Monday. The quake also triggered landslides in mountainous regions.
The earthquake took place 45 km (28 miles) south-southwest from the Afghan city of Jarm and 256 km (159miles) north-northeast from the country's capital Kabul.
It comes half a year after Nepal's earthquake that killed more than 9,000 people, and 10 years after the Kashmir earthquake that claimed almost 100,000 lives.