A safety pen needle assembly (12) is disclosed which comprises a hub (30), a needle cannula (20) engaged to the hub (30), the needle cannula (20) having a distal end for insertion into a patient, and a proximal end extending into the hub (30), a sleeve (14) surrounding the hub (30) and needle cannula (20), a shield (16) including a window (18), the shield (16) surrounding the sleeve (14) and movable relative to the sleeve (14) from a first position, to a second position and to a third position to expose and cover the distal end of the needle cannula (20), and a spring (144) urging the shield (16) to move relative to the sleeve (14) from the second position to the third position, wherein the window (18) indicates when the needle cannula (20) is extended in the second position.