Who knows why, but as to the what...
First thought is that clearly whatever it was didn't actually accomplish anything - Cultivation isn't even wounded, to our knowledge. Second thought is that a Dawnshard (or Dawnshard derived item) is one of the few things able to hurt a Shard (aside from another Shard and, maybe, Nightblood... who wasn't around and, hey, might've been created with a Dawnshard's influence anyways). Third thought is that Honor, at least, knew or implied earlier in the series that he was aware of a Dawnshard on Roshar (and based off no Shard noticing Rysn/Hoid having one, clearly they can't simply sense there's one on their planet). So how did he know? Because someone used it once. Or tried to.
In my eyes, that all points to it being the Change Dawnshard which 1) we know is/was on Roshar, 2) probably wouldn't effect Cultivation (way too similar to her intent), and 3) it fits some of the missing pieces.