Trajectories of neutralizing antibody responses 3, 6, 12, and 18 months post-primary DENV3 infection. The neutralizing antibody titers to rDENV4/3-M14, DENV3, DENV4, and the overall cross-reactive titers (geometric mean of DENV1, DENV2, and DENV4 NT50 values) from 12 individuals were analyzed. (A) rDENV4/3-M14 titers follow similar trajectory to DENV3 titers in an individual with a constant proportion of the 5J7 response. (B) Increase of rDENV4/3-M14 titers between 3 and 6 months, with parallel decay of cross-reactive titers, indicates affinity maturation in an individual who displayed an increased proportion of the 5J7 response. (C) Increase in rDENV4/3-M14 titers between 12 and 18 months indicates possible homotypic reexposure in an individual with an increased proportion of the 5J7 response. (D) Increase in cross-reactive titers between 12 and 18 months indicates possible heterotypic reexposure in an individual who displayed a decreased proportion of the 5J7 response over time.