Watch List notes:

RUSSIA, Empire. Ekaterina II Velikaya (the Great). 1762-1796. Æ Medal (38mm, 37.52 g, 12h). Smallpox Vaccination. By an uncertain medallist. Struck 1826. Crowned bust right / Draped femaile figure standinf facing, seven children around. Diakov 139.2 = 464.2. Brown surfaces, some spotting. EF.

This medal was instituted in the reign of Nikolai I, and was presented to particularly distinguished smallpox inoculators