The first is my final sketch and the second is my final piece. I was really trying to edit down the amount of lines in the second, which is more difficult for me than you would imagine. I thought I could solve the problem of the balancing the weight of the apple by making her hair dark instead of the background, and adding a bold pattern to her dress instead of the worm. I also adjusted the length of the worm to make it appear like it was coming out of the apple more, and some simple action lines to indicate her nausea. Hope this isn't too late, I'm finally getting better from this never ending head cold.