On June 18, she visibly shook while receiving Ukrainian President Volodymyr Zelenskiy with military honors in Berlin.
The German Chancellor was seen shaking beside German President Frank-Walter Steinmeieras she swore in the new justice minister at Berlin's Bellevue Palace in late June.
"I've already said that I need to work through this event and that I'm in this process - and I think that it will go away one day just as it arrived, but it's not there yet", she said referring to the first trembling incident that occurred last month during a ceremony on a hot afternoon.
A keen hiker too, Merkel herself once asserted she had a "camel-like" ability to store energy for sleepless all-night summits.
A government spokesperson said she would continue meetings as planned. She suggested that the psychological impact of the first incident was responsible for the subsequent episodes.
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Merkel's public bouts of shaking have fuelled speculation about her health.
"I have already said that I am going through a phase of processing the recent military honours with President Zelenskiy", the chancellor said on Wednesday. "Should the chancellor tell us how she really is doing?", read a headline on the homepage of Bild, the country's largest newspaper.
In case of emergency, Merkel would be replaced by Vice Chancellor Olaf Scholz, who would carry out her duties until parliament elected a new leader.
After her Japan trip, Merkel went straight into three days of tortuous talks in Brussels to decide on a new group of nominees for top European Union jobs - a package that has strained her coalition government.
Merkel has been German leader since 2005.
Merkel said previous year that she won't seek a fifth term as chancellor and won't seek any other political job after her current term ends in 2021. The two leading coalition partners, including the Social Democrats, did poorly in European elections in May, putting further pressure on the coalition.