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 did not attend either the launch or the commissioning due to Alzheimer's disease, died 11 months later. At the end of the graveside services, the ship's commanding officer at that time, Captain James Symonds, presented the flag that draped the former president's casket to Mrs. Reagan at her request. This was also the flag that had flown over Capitol Hill on 20 January 1981, when the president was inaugurated. At a later date, Captain Symonds also presented Mrs. Reagan the flag that had been flying over "Ronald Reagan" when the former president died. "Ronald Reagan" was the first nuclear-powered warship