The Armed Forces Expeditionary Medal (AFEM) is a military award of the United States military, which was first created in 1961 by Executive Order of President John Kennedy. The decoration is awarded for participation in any military campaign of the United States for which no other service medal is authorized. The Fleet Marine Force combat operation insignia is also authorized for certain sailors. Since its original conception over forty years ago, the Armed Forces Expeditionary Medal has been awarded for United States participation in over forty five designated military campaigns. The first campaign of the AFEM was the Cuban Missile Crisis and the award was issued for military service between October 1962 and June 1963.