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Date: 20 August 2010 / 20 August 2010
Heats
Final
| 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 |
| Heats | |||
| 9 | Annick van Westendorp | SUI | 4:20.17 |
| 10 | Chloe Francis | NZL | 4:22.59 |
| 11 | Julia Gerotto | BRA | 4:23.71 |
| 12 | Simona Marinova | MKD | 4:25.31 |
| 13 | Lauren Earp | CAN | 4:26.47 |
| 14 | Andrea Cedron | PER | 4:27.26 |
| 15 | Shahd Mostafa | EGY | 4:27.48 |
| 16 | Inga Elin Cryer | ISL | 4:28.68 |
| 17 | Kaori Miyahara | PER | 4:29.27 |
| 18 | Wei Li Lai | MAS | 4:30.92 |
| 19 | Marija Joksimovic | SRB | 4:32.25 |
| 20 | Jurate Scerbinskaite | LTU | 4:33.08 |
| 21 | Natasha de Vos | RSA | 4:33.68 |
| 22 | Chriselle Wyn Jia Koh | SIN | 4:34.28 |
| 23 | Shannon Austin | SEY | 4:34.81 |
| 24 | Nesrine Khelifati | TUN | 4:37.37 |
| 25 | Saskia Postma | ARU | 4:41.63 |
| 26 | Karlene van der Jagt | SUR | 4:45.03 |
| Did not start | |||
| Emma McKeon | AUS | ||