Comparison

Tended vs Symptio

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

Tended

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
Read full description

Track chronic illness without turning your health into homework. Tended is a privacy-first health journal and symptom tracker for people living with long-term symptoms, pain, fatigue, flares, and appointments that never quite fit into ten minutes. Log in seconds, notice possible patterns, and prepare for doctor appointments without streaks, guilt, accounts, analytics, data collection, or external servers. LOG IN SECONDS, EVEN ON HARD DAYS When thinking is hard, Tended keeps logging light. Record a day rating, symptoms, pain, medications, energy, sleep, mood, bowel changes, food, triggers, activities, periods, photos, and notes at your own pace. Use Apple Watch, widgets, Siri, the Lock Screen, or the full app when opening your phone feels like too much. Duplicate yesterday, edit only what changed, or describe your day in your own words with optional on-device AI. BUILT FOR CHRONIC ILLNESS Tended is made for fluctuating conditions where a normal habit tracker does not fit. Use it as a chronic illness journal, symptom tracker, pain tracker, medication tracker, flare tracker, energy tracking tool, sleep tracking companion, and body map. Condition starter sets help you begin with relevant symptoms and triggers for fibromyalgia, ME/CFS, lupus, endometriosis, PMOS / PCOS, POTS, EDS, migraine, MS, IBD, PMDD, and many more. SEE PATTERNS IN YOUR OWN DATA Your journal can become more useful over time. Tended may help you notice possible links between symptoms, medications, food, sleep, activity, weather, Apple Health averages, menstrual cycle phases, flares, and better days. Insights are based on what you log yourself. They are self-reported observations, not clinical findings, so you stay in charge of what feels useful. PREPARE FOR APPOINTMENTS When brain fog arrives before your appointment, Tended helps you bring the important parts with you. Use Doctor Mode, appointment notes, body map history, medication adherence, symptom trends, focused visual reports, and PDF health reports to explain what has been happening. Tended+ unlocks longer history, deeper pattern insights, trigger experiments, appointment-ready PDF health reports, focused evidence and care PDFs, and CSV export for people who want to go deeper. STAY CONNECTED, WITHOUT OVERSHARING If you choose, Tended can help you share small practical updates with someone you trust through Supported, the carer companion app. Send a quiet check-in, a quick need, or a regular summary without exposing your whole private journal. FREE FOREVER. NO GUILT. Every tracking feature is free and unlimited. There are no streaks, no shame, and no "you missed a day" messages. Tended+ is for people who want longer-term insight and appointment-ready reports. The free journal stays useful on its own. PRIVATE BY DESIGN No account. No analytics. No data collection. No external server. Your journal lives on your device or in your personal iCloud. Apple Health data is read only when you allow it. Optional on-device AI features run on your device where available; your journal is not sent to Cocoacorn servers. Use Tended gently, at your own pace. Bring what helps. Leave the rest. MEDICAL DISCLAIMER Tended is a personal health journal, not a medical device or clinical tool. It is not a substitute for medical advice or emergency support. Content is based on what you log yourself and may be incomplete or inaccurate. Always consult a qualified healthcare professional for medical decisions. Tended does not monitor journal entries for distress. If you are in crisis, contact local emergency or crisis support. Terms of Use: https://www.cocoacorn.com/tended/terms Privacy Policy: https://www.cocoacorn.com/tended/privacy

About

Symptio

Track symptoms, medications, and triggers to identify health patterns. Visualize trends with charts and gain insights into your well-being. Syncs with Apple Health and offers family profiles for comprehensive care.

Highlights
  • Symptom logging (1-10 rating)
  • Add photos, medications, notes, triggers
  • 7-day and 30-day trend charts
  • Calendar heatmap
  • Smart Insights for pattern detection
  • Apple Health sync
  • Family profiles
  • PDF and CSV report export
Features
Read full description

You wake up with a migraine. You've had three days of GI issues. You're trying to figure out if the new medication is helping. None of this is in your Apple Health app. None of it makes it to your next doctor visit. That's what Symptio fixes. Open the app. Tap symptom. Rate 1–10. Done in 15 seconds. Expand only when you need to — add photos, medications, notes, triggers. No signup. No ads. Just open it and start. [ Spot patterns you'd otherwise miss ] 7-day and 30-day trend charts Calendar heatmap shows month-by-month Smart Insights find connections like "your headaches are worse after poor sleep" Side-by-side comparison of multiple symptoms [ More than just symptoms ] Weight: daily logs, trends, BMI Cycle: period tracking, ovulation predictions Bathroom: Bristol stool scale + hydration color chart — auto alerts for IBS, dehydration Apple Health sync: see heart rate, sleep, steps alongside your symptoms Photos: track rashes, wounds, visible changes [ Built for chronic condition self-management ] Migraine, IBS, fibromyalgia, long COVID, anxiety, chronic fatigue — Symptio is designed for people who need to track patterns over months, not just one bad day. [ Care for family too ] Separate profiles for parents, kids, spouse Get alerted when a loved one logs severe symptoms multiple days in a row Family health report for shared doctor visits [ Built for privacy ] All data lives in YOUR personal iCloud — our servers never see it No account, no email, no phone number No ads, no third-party trackers, no SDKs Delete anything anytime [ When you visit the doctor ] Export professional PDF reports with charts CSV export for deeper analysis One tap to share via Messages, Mail, or print Symptio Pro unlocks Smart Insights, multi-symptom comparison, family profiles, Apple Health sync, and CSV export. Core tracking is free forever. Your body has been telling its story. Now you can read it back. Privacy Policy: https://smartkiitos.com/symptio/privacy/ Terms of Use: https://smartkiitos.com/symptio/terms/

Screenshots

Tended4 screens
Symptio4 screens

Verdict

The call

The clearest difference is rating: Symptio at 5.0 against Tended's 4.3. Tended's advantage is ratings volume (7 vs 1). On price, update cadence, ads and in-app purchases there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Tended sells 1 one-off in-app purchase and Symptio sells 3 in-app purchases, starting at $4.99 per month. Whichever you choose, the download price is not the number that matters.

ReceptionRating · Positive reviews · Number of ratings

Symptio holds the better App Store score, 5.0 against 4.3. That said, the two scores are not equally well evidenced: Tended has 7 ratings behind it against 1, so its average is the more settled of the two.

UpkeepUpdate frequency

Both ship on a similar rhythm, roughly every 4 days. The most recent releases landed on October 3, 2026 and October 7, 2026 respectively.

Scorecard2 real differences · 8 level
Tended versus Symptio: the parameters behind the verdict, then further details
ParameterTendedSymptio
PriceFreeFree
Rating4.3 (7 ratings)5.0 (1 ratings) — better
Positive reviews100.0% of reviews—
Number of ratings7 — better1
Update frequencyEvery 4 daysEvery 4 days
AdsNoNo
In-app purchasesYesYes
MonetizationFree with in-app purchasesFree with in-app purchases
DevicesiPhone, iPad, Apple WatchiPhone, iPad, Apple Watch
Requires iOS18.017.0 — better
Further details — not scored
Size69 MB13 MB
Age rating4+12+
DeveloperGeoff DavisLiwei Xie

Customer experience

Tended

All ratings7 ratings
Positive85.7%
Neutral0.0%
Negative14.3%
Written reviews2 reviews
Positive100.0%
Neutral0.0%
Negative0.0%

Symptio

All ratings1 ratings
Positive100.0%
Neutral0.0%
Negative0.0%

In-app purchases

1 purchases

Tended

One-time1
  • Lifetime$34.99
3 purchases

Symptio

Subscriptions2
  • Symptio Pro3 Days trial$4.991 Month
  • Symptio Pro7 Days trial$29.991 Year
One-time1
  • Symptio Pro Lifetime$59.99

Questions

Is Tended free?
Tended is free to download, with in-app purchases available.
Is Symptio free?
Symptio is free to download, with in-app purchases available.
Which has better reviews, Tended or Symptio?
Symptio is rated higher. Tended averages 4.3 out of 5 from 7 ratings, while Symptio averages 5.0 from 1 ratings.
Do Tended or Symptio have ads?
Neither Tended nor Symptio shows ads.
Which is updated more often, Tended or Symptio?
Tended ships an update every 4 days, and Symptio every 4 days. Most recently, Tended was updated on October 3, 2026 and Symptio on October 7, 2026.

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