He said rescuers were moving to far-flung villages to fund out injured or trapped people in Mirpur district bordering Pakistani province of Punjab and Riasi district of Indian-administered Jammu and Kashmir.
As aftershocks continued to rock the region, many left their homes and spent the night on the roadside or in parks.
Many people from the area slept outdoors overnight and some were returning home on Wednesday to collect belongings and inspect damage.
Residents in Islamabad were seen rushing out of multistorey buildings into the streets. Others sat in shock as relatives and a small number of volunteers provided small amounts of food.
"We saw walls and the roof developing cracks and ceiling fans and other articles falling down, and we rushed out into an open field", he told Reuters by telephone. I was injured on my head and back.
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He expressed his frustration at having to wait for assistance from the authorities.
Rescue workers battled on Wednesday to reach people affected by a shallow quake that rocked northeast Pakistan a day earlier, killing at least 22 people and injuring hundreds more as it tore roads apart and felled buildings.
India has also imposed a communications blackout on Kashmir, a point which activist Arjun Sethi noted would make it hard for people reach their loved ones who could be affected by Tuesday's quake.
Afzal said doctors were treating hundreds of people, some of whom had received multiple injuries.
According to the United States Geological Survey, the epicentre of the natural disaster was in new Mirpur in PoK.
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Earlier in the day, mourners buried the dead in Mirpur and nearby villages.
A day after the 5.8 magnitude natural disaster jolted the broad swaths of country's north northwest and Pakistani-administered Kashmir known as Azad Kashmir, the search-and- rescue operations resumed early Wednesday.
There have been no reports of deaths in India so far.
The quake - which also jolted several cities in Pakistan's Punjab province and Khyber-Pakthunkhwa province - left at least 34 people dead, the disaster management officials were quoted as saying by Pakistani newspaper Express Tribune.
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