when I press button 5 times, I get iphone 12 max pro vibrations but no sound. I do have my ringer on but can not find any way to get the Alarm beep that used to be there.

If you have a hearing or sound issue on your device then please try some of these processes to set it right

1. If you have a distorted sound issue on your iPhone --> If you hear no sound or distorted sound from your iPhone, iPad
2. If you are not able to hear the other person, click this...>If you can't hear a person on a call or voicemail or if the sound isn't ...
3. If you only hear through speakerphone mode --> If your iPhone is stuck in headphone mode - Apple Support
4. If the other person is not able to listen to you then please click this to identify the issue --> If the microphones on your iPhone, iPad, and iPod touch aren't ...

If the above options do not mitigate the issues then Contact your carrier and then Contact Apple Support

Here is how it works --> Use Emergency SOS on your iPhone - Apple Support (IN)