USS Ronald Reagan Efficiency "E" award for the West Coast, the first Battle "E" ever for the carrier. "Ronald Reagan" returned to Naval Air Station North Island on 20 April 2007, following the three-month deployment in support of operations in the Western Pacific. On 15 December 2007, the carrier answered a distress call from a cruise ship off the coast of Baja California. An Illinois teenager whose appendix had ruptured while on a Mexican cruise was airlifted by an SH-60 helicopter to "Ronald Reagan", where an emergency appendectomy was performed by the ship's surgeon. USS "Ronald Reagan", with CVW-14 embarked, departed San Diego
USS Ronald Reagan and C-2A Greyhound aircraft of the "Ronald Reagan" CSG helped deliver more than of rice, fresh water, and other supplies to areas of Panay, which were not reachable by truck due to flooded roads. The mission in Panay earned the entire strike group the Navy's Humanitarian Service Medal. The CSG arrived in the U.S. Fifth Fleet area on 28 August 2008, where she launched more than 1,150 sorties into Afghanistan in support of Operation Enduring Freedom. "Ronald Reagan" returned to San Diego on 25 November 2008. "Ronald Reagan" received word in February 2009 that the ship had won her second