Soy Milk: Tears now travel in a double helix pattern.
Tractor Beam: The altered pattern tears travel in is confined to the beam allowing Isaac to use its benefits without losing accuracy.
Golden Trinket / Mom's Box / Wiggle Worm: In addition to further stat increases, each effect/trinket copy causes the path of tears to become even wigglier.
Tech X: Rings take a star-shape, slightly increasing their area of effect.
Wiggle Worm was a passive item in the original Binding of Isaac. The likely reason for the change to a trinket is the situational usefulness of this shot pattern, along with the new ability to drop trinkets on demand. It took ItemID #59, which is now unused.
Grants spectral tears.
This trinket has a 1% chance to drop when defeating 
Pin, 
Larry Jr., 
The Hollow or 
Scolex.
Soy Milk: Tears now travel in a double helix pattern.
Tractor Beam: The altered pattern tears travel in is confined to the beam allowing Isaac to use its benefits without losing accuracy.
Golden Trinket / 
Mom's Box / 
Wiggle Worm: In addition to further stat increases, each effect/trinket copy causes the path of tears to become even wigglier.
Tech X: Rings take a star-shape, slightly increasing their area of effect.
The Book of Belial created by the 
Birthright effect from 
Judas/ 
Black Judas.
Concept for Worm Trinkets, including Wiggle Worm.
Bug!
The Tears up is not applied until Isaac's Tears are first increased by any other method.
Worm Trinkets 
The Binding of Isaac: Rebirth
