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In November of 1830 was a period when God and His Church were being attacked by His enemies, and ignored by the faithful. Our Lady appeared in Paris to a humble Sister of Charity, Catherine Labouré, and told her about the evils of the world, which were to become more intense in the years that lay ahead. She then portrayed an image signifying her Immaculate Conception. She instructed Sister Catherine to have a medal made to that likeness, which should be worn by all as a safeguard against the snares of the devil. As Sister Catherine tells it:

“The Blessed Virgin was standing on a globe, and her face was beautiful beyond words. Her fingers were covered with pre­cious jewels whose light dazzled me. And I heard: ‘Behold the symbol of the graces I shed upon those who ask for them!’ Then an oval frame formed around the Blessed Virgin and I read in let­ters of gold: ‘O Mary, conceived without sin, pray for us who have recourse to thee.’ The vi­sion reversed and I beheld the letter ‘M’ surmounted by a cross, at the foot of the cross, a bar, and below all, the Heart of Jesus crowned with thorns, and the Heart of Mary pierced with a sword. A voice said to me, ‘Have a medal struck after this model. Persons who wear it will receive great graces, especially if they wear it around the neck.'”