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Date: 14 August 2004 / 14 August 2004
Heats
Final
| Rank | Name | Nation | Time |
| 1 | Yana Klochkova | UKR | 4:34.83 |
| 2 | Kaitlin Sandeno | USA | 4:34.95 |
| 3 | Georgina Bardach | ARG | 4:37.51 |
| 4 | Eva Risztov | HUN | 4:39.29 |
| 5 | Joanna Melo | BRA | 4:40.00 |
| 6 | Nicole Hetzer | GER | 4:40.20 |
| 7 | Nam Yoo-Sun | KOR | 4:50.35 |
| 8 | Vasiliki Angelopoulou | GRE | 4:50.85 |
| Heats | |||
| 9 | Helen Norfolk | NZL | 4:45.21 |
| 10 | Misa Amano | JPN | 4:45.61 |
| 11 | Elizabeth Warden | CAN | 4:46.27 |
| 12 | Lara Carroll | AUS | 4:46.32 |
| 13 | Anja Klinar | SLO | 4:46.66 |
| 14 | Beatrice Caslaru | ROU | 4:46.94 |
| 15 | Zsuzsanna Jakabos | HUN | 4:47.21 |
| 16 | Alessia Filippi | ITA | 4:47.26 |
| 17 | Katie Hoff | USA | 4:47.49 |
| 18 | Teresa Rohmann | GER | 4:48.51 |
| 19 | Jennifer Reilly | AUS | 4:49.04 |
| 20 | Lin Man-Hsu | TPE | 4:52.22 |
| 21 | Yana Martynova | RUS | 4:52.96 |
| 22 | Nimitta Thaveesupsoonthorn | THA | 5:00.06 |
| 23 | Ana Dangalakova | BUL | 5:01.00 |
| 24 | Sabria Dahane | ALG | 5:10.20 |
| Disqualified | |||
| Zhang Tianyi | CHN | ||