The present invention relates to a manual injection pen (1) suitable for injecting a liquid medication via a non-electrical drive mechanism (33). The injection pen (1) is provided with a plurality of sensors (50,70,200) that senses when a user is taking a specific action with the device. Further the injection pen (1) is provided with a sound generator (10) that generates a particular sound corresponding to the specific action taken by the user. In this way a characteristic sound signal can be provided for each specific action.