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Date: 28 July 1992 / 28 July 1992
Heats
Final
| Rank | Name | Nation | Time |
| 1 | Dagmar Hase | GER | 4:07.18 |
| 2 | Janet Evans | USA | 4:07.37 |
| 3 | Hayley Lewis | AUS | 4:11.22 |
| 4 | Erika Hansen | USA | 4:11.50 |
| 5 | Kerstin Kielgass | GER | 4:11.52 |
| 6 | Isabelle Arnould | BEL | 4:13.75 |
| 7 | Malin Nilsson | SWE | 4:14.10 |
| 8 | Suzu Chiba | JPN | 4:15.71 |
| 9 | Philippa Langrell | NZL | 4:12.96 |
| 10 | Sandra Cam | BEL | 4:14.11 |
| 11 | Irene Dalby | NOR | 4:14.46 |
| 12 | Beatrice Coada | ROU | 4:14.90 |
| 13 | Carla Negrea | ROU | 4:14.92 |
| 14 | Olga Splichalova | TCH | 4:16.41 |
| 15 | Manuela Melchiorri | ITA | 4:20.75 |
| 16 | Hana Cerna | TCH | 4:21.50 |
| Heats | |||
| 17 | Mette Jacobsen | DEN | 4:16.80 |
| 18 | Julie McDonald | AUS | 4:20.16 |
| 19 | Samantha Foggo | GBR | 4:22.26 |
| 20 | Itziar Esparza Pallares | ESP | 4:22.27 |
| 21 | Jeanine Steenkamp | RSA | 4:23.33 |
| 22 | Yan Ming | CHN | 4:23.69 |
| 23 | Laura Sanchez Rodriguez | MEX | 4:23.87 |
| 24 | Judit Kiss | HUN | 4:24.01 |
| 25 | Elizabeth Arnold | GBR | 4:25.55 |
| 26 | Maria Jose Marenco | ESA | 4:29.32 |
| 27 | Thanya Sridama | THA | 4:29.64 |
| 28 | Joscelin Yeo | SIN | 4:29.76 |
| 29 | Erika Gonzalez Ruiz | MEX | 4:32.06 |
| 30 | Robyn Lamsam | HKG | 4:32.23 |
| 31 | Claudia Marieta Fortin Pineda | HON | 4:37.58 |
| 32 | Yu Fen May Ooi | SIN | 4:37.77 |
| 33 | Corinne Leclair | MRI | 4:43.53 |