As of the latest chapters, Izuku and Uraraka have shown some mutual interest and closeness, but it's not a definite romantic pairing yet. It's still evolving in the story.
His friends would probably take care of him. Midoriya would be very eager to help, using his kind-hearted nature. He would make sure Todoroki is fed and comfortable.
In some fanfictions, new original characters are introduced. These new characters are designed to be a potential threat to Uraraka's relationship with Deku. They might be transfer students with amazing quirks who immediately take an interest in Deku. Uraraka then sees this new character getting close to Deku and becomes jealous, leading to various conflicts and emotional drama in the fanfiction.
One idea could be that all his friends at UA plan a surprise birthday party for him. They decorate the common room with his favorite colors, blue and red. Another plot could be Todoroki spending his birthday with his family, trying to reconcile with his father on this special day. Maybe he receives a heartfelt gift from his mother that has a deep emotional significance.
In a midoriya x uraraka fanfic, the author might play with the idea of their unspoken feelings. Uraraka's admiration for Midoriya could be delved into deeper, and Midoriya's possible realization of her importance in his life. It could also include some cute moments like when they train together or share a meal, which would add a lot of charm to the story.
Typically, these fanfics often focus on their relationship, whether it's friendship or a budding romance. They usually incorporate elements from the original 'My Hero Academia' universe, like their hero training and the challenges they face at school.