Inayatullah Khan, Pakistan's provincial minister, says the death toll from earthquake in the Khyber Pakhtunkhwa province alone has jumped to 121.
At least two people were also killed in Pakistan's eastern Punjab province and in Pakistan controlled Kashmir, The Associated Press reported.
Afghan officials say 33 people were killed nation-wide in Monday's quake, including 12 schoolgirls who were trampled to death while trying to get out of swaying buildings. Another two people died in India-controlled parts of the disputed Kashmir region.
The US Geological Survey said the earthquake had a preliminary magnitude of 7.5 and occurred at a depth of 212 kilometers (130 miles).
Mohammad Hanif, a top official at Pakistan's Meteorological Department, says Monday's quake did not cause massive destruction because the epicenter was so deep.
Indian Prime Minister Narendra Modi sent a tweet Monday afternoon after the earthquake, saying: "I pray for everyone's safety."