Safe to assume he survived the war and wore this medal to reunions. This has obviously been pinned to his picture for a very long time evidenced by the material behind the medal not being faded. I have never seen this rare combination.
A one of a kind Civil War tintype. This item is in the category "Collectibles\Militaria\Civil War (1861-65)\Original Period Items\Photographs". The seller is "eatsrice" and is located in this country: US. This item can be shipped to United States.