An epinephrine auto-injector use activated device detects and responds to usage of the auto-injector. The resulting use activated device includes an actuator for manual generation of an injection force, as by a patient's hand, and a medicinal reservoir or vial for storing a quantity of medication for injection. A plunger is responsive to the actuator for displacing the medication in the medicinal reservoir, and a needle in fluidic communication with the medicinal reservoir defines a syringe for transporting the displaced medication through an aperture in a distal end of the needle. An electrical coupling, switch or sensor is responsive to movement of the actuator for initiating an alert signal. The alert signal is configured for transmission to a first responder in anticipation of an exigent response for further medical attention, in which the movement corresponds to plunger travel for dispensing the medication in the medicinal reservoir.
