It helps to see that by the end of chapter 6, the Last Day has arrived, when "the wrath of the Lamb" is finally poured out on the ungodly on Earth. This marks the end of one section of the book of Revelation. Chapter 7 verse 1 to the end of chapter 11 is the next section (going back, to fill in with more details, and culminating again in the Last Day, when God brings to ruin those ruining the Earth, and God's temple in Heaven is opened.) This is necessary to grasp for the symbolism of the heavens, the mountains, and the islands to become clear.
Consider, for example, how a great earthquake is mentioned in 6:12, in conjunction with the events in the verse asked about, and the same earthquake is mentioned twice in the following section, namely, 16:18:
"...and there was a great earthquake, such as was not since men were
upon the earth, so mighty an earthquake, and so great." Revelation
16:18 A.V.
This is the same event as in chapter 6, with additional details provided, for this is when the cities of the nations fall, and Babylon the Great is given of the cup of God's wrath to drink, "and every island fled away, and the mountains were not found", with massive hail-stones falling on ungodly men. Put that together with chapter 6 verses 12 to 17 and it is clearly the same catastrophic end-time when great kings down to slaves try to hide from this Last Day, seeking the mountains to cover them from the Lamb. But the mountains and the islands on Earth are removed from their places - not to hide those people, however.
It is the unprecedented earthquake on Earth that causes the Earth to go into paroxysms of convulsions. Will this merely be symbolic of some unseen spiritual event? Consider what Jesus said himself about the time just before he returns with hosts of angels. Jesus used the same words as in Revelation chapter 6:
"Immediately after the tribulation of those days shall the sun be
darkened, and the moon shall not give her light, and the stars shall
fall from heaven, and the powers of the heavens shall be shaken. And
then shall appear the sign of the Son of Man in heaven: and then shall
all the tribes of the earth mourn, and they shall see the Son of Man
coming in the clouds of heaven with power and great glory. And he
shall send his angels with a great sound of a trumpet, and they shall
gather together his elect from the four winds, from one end of the
heaven to the other." Matthew 24:29-31 A.V.
Note how the reaction of those who are not "his elect" accords with what Jesus said in Revelation 1:7?
Some people think all of this is symbolic of unseen battles in the heavenlies, between angel and demonic forces, but the constant references to people, to places, to earthly events like earthquakes, hailstones, light from sun and moon, all speak of physical things. Yes, there are unseen powers in the heavens beyond the sight of man, but Earth is caught up in events, and its worldly people terrified beyond anything ever experienced by humans. This is the lead-up to God creating "a new heaven and a new earth, in which righteousness will dwell" as detailed here:
"...by the word of God the heavens were of old, and the earth standing
out of the water and in the water: whereby the world that then was,
being overflowed with water perished. But the heavens and the earth
which are now, by the same word are kept in store, reserved unto fire
against the day of judgement and perdition of ungodly men... But the
day of the Lord will come as a thief in the night, in the which the
heavens shall pass away with a great noise, and the elements shall
melt with fervent heat, the earth also and the works that are therein
shall be burned up." 2 Peter 3:4-10 A.V.
All these passages speak of the same phenomenal time when Christ shall suddenly return to usher in the Day of Resurrection and Judgment. However those events work out, all who witness them will realise that the words used in the Bible to describe them, did not exaggerate one iota. Nothing in history approaches what will be at Christ's spectacular return. But note that, just as the flood of Noah's day was a literal, global flood wiping out life on Earth bar those 'covered' by God's protection, so it will be literal destruction on Earth, prior to God creating a new heavens and a new earth - a re-creation. (2 Peter 3:12-13)
Detailed comparisons with Old Testament use of earthquakes, sun and moon, stars, mountains, islands, and scrolls can be examined in this book, particularly from pages 174 to 178. The Revelation of Jesus Christ, John Metcalfe. http://www.johnmetcalfepublishingtrust.co.uk/contact_us.htm