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What can cause a car to shake after you start it?

Engine Misfires:

1. Worn-out Spark Plugs: Check and replace if faulty.

2. Faulty Ignition Coils: Replace the faulty ignition coils.

Vacuum Leaks:

1. Listen for a hissing sound while the car is idling.

2. Check for loose or disconnected vacuum hoses and clamps.

Fuel Supply Issues:

1. Clogged Fuel Filter: Causes decreased fuel flow. Replace the filter.

2. Defective Fuel Pump: Results in low fuel pressure. Have the fuel pump inspected.

3. Faulty Fuel Pressure Regulator: Regulates fuel flow and pressure. Inspect and replace if faulty.

Engine Mounts:

1. Worn or broken engine mounts can cause excessive vibration. Inspect and replace as necessary.

Driveline Issues:

1. Damaged Universal Joints: These joints allow for movement between transmission and rear differential. Replace if worn or damaged.

Tire Problems:

1. Uneven Tire Wear: Can cause shaking at higher speeds. Have tires inspected, rotated, or replaced as needed.

2. Improperly Balanced Tires: Causes a vibration that increases with speed. Have the tires balanced.

3. Worn or Damaged Steering Components: Inspect steering components like ball joints, CV joints, tie-rod ends, and more for excessive play.

Mechanical Issues:

1. Crankshaft Issues: Worn or bent cranks can cause shaking. Repairs depend on the severity of the issue.

2. Piston Problems: Inspect piston rings and connecting rod bearings. May need piston ring replacements or a full engine rebuild.

Malfunctioning Sensors:

1. Faulty Oxygen Sensor: Can lead to engine shaking on acceleration. Have the sensor replaced.

2. Mass Air Flow (MAF) Sensor Issue: Affects the air-fuel ratio. Cleaning or replacing the sensor may help.

Clutch Problems (in Manual Transmissions):

1. Worn Clutch Disk: Can lead to shaking while shifting gears or accelerating. May require clutch disk replacement.

Transmission Issues:

1. Low Transmission Fluid: Affects gear shifting and can lead to engine shaking. Check fluid level and add if needed.

2. Faulty Transmission Mount: Worn or damaged mount can cause shaking while shifting gears. Inspect and replace if necessary.

If the shaking persists or if you're unsure of the cause, it's best to consult a qualified mechanic for further diagnosis and repair.