I think @PhilipDAth meant me, not whoever @Nolan is 😃
With the MR74, since there are two ports for 5GHz and two ports for 2.4GHz, you'll have to get two of the Meraki antenna since they do not sell a 4-lead antenna (Lord know's why).
On the MR74 there is nothing that indicates vertical or horizontal, so it has always been my conclusion that it doesn't matter when connecting the antenna cables. Just that the two antenna cables have to both go to either the 2.4GHz ports, or the 5GHz ports, do not mix them.
I also have not been able to find any information about the reason for why they label them vertical and horizontal, and if it did matter, I'm 100% confident that they would be shooting themselves in the foot because nobody pays attention to things like that. Especially since its not documented anywhere I can 'easily' find.
That being said, I'm going to add @MerakiDave so he can provide clarification. I feel for you on the confusion part, and feel that Meraki could add some clarification in their installation guide or the antenna box paper stating that it doesn't matter.
Again this is an educated assumption on my part since I've never seen anything otherwise.
TLDR - The antenna pigtails need to connect to the same radio and it doesn't matter which of the two ports for that radio you connect them to. Do not have one cable going to 2.4GHz and the other to 5GHz.