Caracalla, AE38mm medallion. Rome. 48.5 g.

M AVRELIVS ANTONINVS PIVS AVG. laureate, heroic bust left, seen from the back, holding spear, large aegis on left shoulder.
PONTIFEX TR P X COS II around and benath Victory standing right, inscribing VOT X on a shield resting on her knee, and surrounded by nine children holding wreaths and palm branches.

Gnecchi II, 3 (this coin) = Vierordt 1910 = Gréau 2748 = Cohen III 410.

Image copied from the Vierordt catalog.