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Date: 15 August 2004
Summary
Final 1
| Rank | Name | Nation | Time |
| 1 | Laure Manaudou | FRA | 4:05.34 |
| 2 | Otylia Jedrzejczak | POL | 4:05.84 |
| 3 | Kaitlin Sandeno | USA | 4:06.19 |
| 4 | Camelia Potec | ROU | 4:06.34 |
| 5 | Ai Shibata | JPN | 4:07.51 |
| 6 | Sachiko Yamada | JPN | 4:10.91 |
| 7 | Linda MacKenzie | AUS | 4:10.92 |
| 8 | Rebecca Cooke | GBR | 4:11.35 |