Mac OS (Mojave version 10.14.6) 2.6 GHz Intel Core i7, Radeon Pro Vega 16 4 GB Intell UHD Graphics 630 1536 MB

InDesing CC totally up to date, uninstalled and cleaned multiple times.

When I export a PDF, both with my own settings and the default High Quality Print the text will randomly not be aligned, for example I exported the attached page 5 times with the exact same setting and sometimes it was fine but a few it was messed up. No noticeable pattern, happens when exporting Print PDF and Interactive.