MySQL 1062 – Duplicate entry ‘0’ for key ‘PRIMARY’

You need to specify the primary key as auto-increment

CREATE TABLE `momento_distribution`
  (
     `momento_id`       INT(11) NOT NULL AUTO_INCREMENT,
     `momento_idmember` INT(11) NOT NULL,
     `created_at`       DATETIME DEFAULT NULL,
     `updated_at`       DATETIME DEFAULT NULL,
     `unread`           TINYINT(1) DEFAULT '1',
     `accepted`         VARCHAR(10) NOT NULL DEFAULT 'pending',
     `ext_member`       VARCHAR(255) DEFAULT NULL,
     PRIMARY KEY (`momento_id`, `momento_idmember`),
     KEY `momento_distribution_FI_2` (`momento_idmember`),
     KEY `accepted` (`accepted`, `ext_member`)
  )
ENGINE=InnoDB
DEFAULT CHARSET=latin1$$

With regards to comment below, how about:

ALTER TABLE `momento_distribution`
  CHANGE COLUMN `id` `id` INT(11) NOT NULL AUTO_INCREMENT,
  DROP PRIMARY KEY,
  ADD PRIMARY KEY (`id`);

A PRIMARY KEY is a unique index, so if it contains duplicates, you cannot assign the column to be unique index, so you may need to create a new column altogether

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