She is opening a present from the Cullen family and gets a paper cut from the wrapping paper
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On her birthday, Bella gets a paper cut while opening gifts. Aroused, Jasper runs and attacks Bella. Edward holds him back from hurting her, but Bella is terribly injured.
Bella is opening her birthday gifts and she gets a paper cut. Jasper then lunges at Bella because of the blood.
from Carlisle & Esme
It was Edwards gift. I think that its a CD of her lullaby.
Because in the making of Twilight, the actress who plays Rosalie cut her hands on the bowl she crushes when she meets Bella (It was filled with salad). It wasn't glass but a type of stunt plastic and the actress pushed too hard, hurting herself. Since a vampire couldn't cut themself with glass/plastic (or have those scars visible), they made the actress wear gloves.