I evaluate an awful lot of school, college and fraternal organization track and field event medals in my other life. This has the look of those types of generic medals sold by catalog in the late 19th and early 20th century for events of some kind. The event itself would be hand stamped or engraved into the open area on the flower side of the medal. So, it might be an award at an art exhibit, best essay, etc., etc., any event where a medal might be given out as a reward for good work of some kind.