# Symptom Tracker vs Tended

The clearest difference is rating: Tended at 4.3 against Symptom Tracker's 3.7. Tended also leads on update cadence (every 5 days vs every 3 weeks). On price, ratings volume, ads and in-app purchases there is nothing between them.

Both are free to download. Symptom Tracker sells 5 in-app purchases, starting at $3.99 per 7 days and Tended sells 1 one-off in-app purchase. Whichever you choose, the download price is not the number that matters.

Tended holds the better App Store score, 4.3 against 3.7. Both are backed by a comparable volume of ratings — 3 and 7 respectively.

Symptom Tracker ships an update every 3 weeks, Tended every 5 days. The most recent releases landed on November 9, 2026 and October 31, 2026 respectively.

## The numbers

| Metric | Symptom Tracker | Tended |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [3.7 (3 ratings)](https://appshunter.io/ios/app/symptom-tracker-pain-diary/id6759116566/reviews) | **[4.3 (7 ratings)](https://appshunter.io/ios/app/tended-symptom-tracker/id6760765910/reviews)** |
| Number of ratings | 3 | **7** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | Every 3 weeks | **Every 5 days** |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Size | 39 MB | 79 MB |
| Requires iOS | **17.0** | 18.0 |
| Devices | iPhone, iPad | **iPhone, iPad, Apple Watch** |
| Age rating | 12+ | 4+ |
| Developer | [Christopher Hefferman](https://appshunter.io/developer/1444958558) | [Geoff Davis](https://appshunter.io/developer/1326616805) |

## What reviewers say

### Symptom Tracker

[App page](https://appshunter.io/ios/app/symptom-tracker-pain-diary/id6759116566)

Log symptoms, life events, and their connections to understand health patterns. Generate PDF reports for doctors. Private by design with no ads or account required.

**Highlights:** Log symptoms and life events, Identify symptom-event connections, Severity rating and notes, Filterable health timeline, Generate PDF reports for doctors, Private and ad-free, Optional iCloud sync

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (5)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Weekly | $3.99 | per 7 days |
| Monthly Plan | $3.99 | per month |
| Limited Time Offer | $14.99 | per year |
| Yearly | $24.99 | per year |
| Lifetime Access | $39.99 | one-time |


### Tended

[App page](https://appshunter.io/ios/app/tended-symptom-tracker/id6760765910)

This health journal helps you track chronic illness symptoms, pain, and daily well-being. Log entries quickly, even on difficult days, and identify potential patterns to better prepare for doctor appointments. It's designed for fluctuating conditions and prioritizes your privacy.

**Highlights:** Log symptoms, pain, energy, mood, and more, Identify patterns and potential triggers, Prepare for doctor appointments with reports, Condition-specific starter sets, On-device AI for descriptions, Privacy-focused with no data collection

**Features:** macOS Compatibility, Family Sharing, Apple Watch app, Vision Pro support

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Lifetime | $34.99 | one-time |


## Frequently asked questions

### Is Symptom Tracker free?

Symptom Tracker is free to download, with in-app purchases available.

### Is Tended free?

Tended is free to download, with in-app purchases available.

### Which has better reviews, Symptom Tracker or Tended?

Tended is rated higher. Symptom Tracker averages 3.7 out of 5 from 3 ratings, while Tended averages 4.3 from 7 ratings.

### Do Symptom Tracker or Tended have ads?

Neither Symptom Tracker nor Tended shows ads.

### Which is updated more often, Symptom Tracker or Tended?

Symptom Tracker ships an update every 3 weeks, and Tended every 5 days. Most recently, Symptom Tracker was updated on November 9, 2026 and Tended on October 31, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*