Some of the symptoms of (and personal problems caused by) not feeding may include:
1. An increase in unconscious feeding
2. Experiencing a decrease in energy or becoming Lethargic
3. Experiencing a decrease in magical or psychic ability
4. Fatigue
5. Depression
6. Increased sensitivity to light and sound
7. Migraines
8. Increased cravings for psi energy or blood
9. Forgetfulness
10. Increased need for sleep and waking up tired after having slept
11. Insomnia
12. Decrease in willpower and motivation
13. Contracting illness easily
14. Severely decreased ability to concentrate on everyday tasks
15. Stress
16. Anxiety
17. Nightmares
18. Rapid fluctuations in mood
19. Unexplained aches and pains
20. Increased sensation of "vamping-out" or otherwise known as “the beast.”
These symptoms often increase in intensity and frequency the longer a Vampire goes without feeding. More often than not, the Vampire had suffered from some sort of unaccounted for physiological symptoms long before they awakened.
I also believe, as I've experienced, that any medical conditions a Vampire may have, that share these symptoms, can manifest much stronger than normal during times when feeding needs are ignored. This understanding\belief is simple common sense, in my opinion.
More information can be found here, through the Atlanta Vampire Alliance.