There were no immediate reports of new casualties or serious damage, but the US Geological Survey said the quake, which occurred yesterday, was felt in El Salvador and neighbouring Costa Rica.
The new tremor, centred 35 miles (56 kilometres) south of the capital city of Managua, surprised people at restaurants and supermarkets, where the shelves swayed strongly, throwing many products to the ground.
Earlier, the government raised the number of people injured in the Thursday evening quake from 23 to 200. It also said that a 23-year-old woman had died of an apparent heart attack after the quake.
Authorities ordered the demolition of two old buildings that had withstood the earthquake of 1972 that killed 10,000 people. Hospitals began discharging patients with minor illnesses so they could have beds available in the event of injuries from an aftershock or new quake.
"We're trying to take as many preventive measures as possible to prevent more deaths," said earlier government spokeswoman and First Lady Rosario Murillo.
President Daniel Ortega said that he raised the country's alert level to red, meaning government officials were evacuating everyone at risk of harm from aftershocks or new quake.
Despite the warnings, hundreds had gathered at the Metropolitan Cathedral of Managua for a religious act in preparation for Holy Week when the stronger earthquake hit.
"We were feeling better even though there were some aftershocks but this last quake was very strong. We are worried again," said Miguel Ugarte.
On Thursday night, officials took 155 people out of neighbourhoods northeast of the capital city due to risk of landslides. One of the shelters was still housing 22 families yesterday.
Yesterday's quake struck at 3:29 pm local time (20:29 GMT), and was centred about six miles (11 kilometres) east-southeast of the town of Nandaime. It had a depth of 85 miles (138 kilometres).
The USGS said Thursday's quake struck at 5:27 pm local time (23:27 GMT), and was centred about 11 miles (18 kilometres) southeast of the city of Larreynaga. It had a depth of 6.2 miles (10 kilometres).
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