Mary has often appeared with a crown of 12 stars around her head, as she is the Queen of Heaven and Earth. 

In a particular way, however, this crown relates to Our Lady of All Nations. On February 11, 1976, twenty-five years to the day after she was given the Our Lady of All Nations Prayer, Ida Peerdeman received this vision while at Mass:

“I saw the glorified ‘Lady of All Nations’ emerging from the Light. She was beautiful beyond all description. She wore a most splendid crown on her head. I felt extremely moved and began to weep for joy and emotion.”

Later that year, on May 31, Ida saw Our Lady again, and this time with the crown and 12 stars:

“Kneeling down I suddenly saw ‘the Glorified Lady’ with twelve stars around her head and wearing a crown. It was magnificent and impressive.”

She saw this “lustrous crown” again on March 25, 1984. It is prophetic of what is to come when Revelation 12 is fulfilled:

“A great sign appeared in heaven: a woman clothed with the sun and the moon under her feet, and on her head, a crown of twelve stars” (Revelation 12:1).

The medal encompasses this aspect of the vision, as well as the glorious mystery, the Crowning of Mary as queen of Heaven and Earth, into one medal image.