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Date: 20 August 2010
Summary
Final 1
| Rank | Name | Nation | Time |
| 1 | Boglarka Kapas | HUN | 4:10.37 |
| 2 | Kiera Janzen | USA | 4:14.28 |
| 3 | Eleanor Faulkner | GBR | 4:14.31 |
| 4 | Stefania Pirozzi | ITA | 4:14.61 |
| 5 | Claudia Dasca | ESP | 4:14.81 |
| 6 | Jordan Mattern | USA | 4:14.94 |
| 7 | Julia Hassler | LIE | 4:17.25 |
| 8 | Anna Olasz | HUN | 4:20.24 |