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Date: 15 August 2004 / 15 August 2004
Heats
Final
| 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 |
| Heats | |||
| 9 | Claudia Poll Ahrens | CRC | 4:09.75 |
| 10 | Kalyn Keller | USA | 4:09.83 |
| 11 | Simona Paduraru | ROU | 4:10.39 |
| 12 | Hannah Stockbauer | GER | 4:10.46 |
| 13 | Elka Graham | AUS | 4:11.67 |
| 14 | Pang Jiaying | CHN | 4:11.81 |
| 15 | Eva Risztov | HUN | 4:12.08 |
| 16 | Brittany Reimer | CAN | 4:12.33 |
| 17 | Chen Hua | CHN | 4:12.67 |
| 18 | Erika Villaecija | ESP | 4:13.03 |
| 19 | Monique Ferreira | BRA | 4:13.75 |
| 20 | Zoi Dimoschaki | GRE | 4:13.96 |
| 21 | Joanne Jackson | GBR | 4:14.89 |
| 22 | Cecilia Elizabeth Biagioli | ARG | 4:16.42 |
| 23 | Arantxa Ramos | ESP | 4:16.52 |
| 24 | Anja Carman | SLO | 4:17.79 |
| 25 | Daria Parshina | RUS | 4:18.24 |
| 26 | Kristel Kobrich | CHI | 4:18.68 |
| 27 | Vesna Stojanovska | MKD | 4:19.39 |
| 28 | Janelle Atkinson | JAM | 4:20.00 |
| 29 | Paola Duguet | COL | 4:20.69 |
| 30 | Kristyna Kynerova | CZE | 4:21.12 |
| 31 | Rebecca Linton | NZL | 4:21.58 |
| 32 | Ha Eun-Ju | KOR | 4:21.65 |
| 33 | Golda Marcus | ESA | 4:22.27 |
| 34 | Pilin Tachakittiranan | THA | 4:23.62 |
| 35 | Ozlem Yasemin Taskin | TUR | 4:24.08 |
| 36 | Ivanka Moralieva | BUL | 4:25.92 |
| 37 | Anita Galic | CRO | 4:26.09 |
| 38 | Olga Beresnyeva | UKR | 4:26.30 |