This sterling silver medal is approx 17mm and would look best on a medium weight chain.
Occasionally the third and fourth sacraments (Communion and Confirmation) are celebrated together (often an adult). This medal shows one image on each side. First Holy Communion is when a person receives the Eucharistic bread for the first time. In Confirmation a person re-confirms their vows of fidelity to God taken by his or her parents and Godparents at Baptism. Both sacraments are usually celebrated in the spring.