yep, it is just a chronology thing ,not severity
we just talk about the acute illness form here, but there is a chronic altitude illness, Monge's disease, named after the South American MD who observed and reported it in the Andes before the Europeans had much experience or knowledge elsewhere.
the veterinarian literature understands this as well. if you take susceptible cattle to just 7,000 in, say, Utah, they get Brisket disease, otherwise known as chronic mountain sickness. the cows get swelling in the brisket area but it actually not the brisket but enlargement of the heart right ventricle and congestive heart failure from chronic exposure to high-altitude induced pulmonary hypertension.