Mary is standing upon a globe, crushing the head of a serpent beneath her foot. She stands upon the globe, as the Queen of Heaven and Earth. Her feet crush the serpent to proclaim Satan and all his followers are helpless before her (Gn 3:15). The year of 1830 on the Miraculous Medal is the year the Blessed Mother gave the design of the Miraculous Medal to Saint Catherine Labouré. The reference to Mary conceived without sin supports the dogma of the Immaculate Conception of Mary—not to be confused with the virgin birth of Jesus, and referring to Mary's sinlessness, “full of grace” and “blessed among women” (Luke 1:28)—that was proclaimed 24 years later in 1854.