| Pos. | Bib | Athlete | Year | Cat. | | Mark |
|---|
| 1 | 31 | PURRIER Elinor | 1995 | W |  USA UNITED STATES OF AMERICA | 4:07.79 |
| 2 | 29 | EFRAIMSON Alexa | 1997 | W | USA UNITED STATES OF AMERICA | 4:08.39 |
| 3 | 32 | ARAGON Danielle | 1994 | W | USA UNITED STATES OF AMERICA | 4:09.03 |
| 4 | 37 | MANSY Megan | 1994 | W | USA UNITED STATES OF AMERICA | 4:09.81 |
| 5 | 39 | REEKIE Jemma | 1998 | W |  GBR GREAT BRITAIN & N. IRELAND | 4:10.25 |
| 6 | 40 | HILLS Madeline | 1992 | W |  AUS AUSTRALIA | 4:12.02 |
| 7 | 33 | BELLO' Elena | 1997 | W |  ITA ITALY | 4:12.31 |
| | | | | | G.S. FIAMME AZZURRE | |
| 8 | 30 | LIPARI Emily | 1992 | W | USA UNITED STATES OF AMERICA | 4:12.74 |
| 9 | 38 | ENGLAND Hannah | 1987 | W | GBR GREAT BRITAIN & N. IRELAND | 4:12.92 |
| 10 | 34 | MATTAGLIANO Joyce | 1994 | W | ITA ITALY | 4:16.14 |
| | | | | | C.S. ESERCITO | |
| 11 | 28 | MISCHCHENKO Anna | 1983 | W35 |  UKR UKRAINE | 4:20.70 |
| 12 | 36 | DALLA MONTA' Laura | 1993 | W | ITA ITALY | 4:22.05 |
| | | | | | ASSINDUSTRIA SPORT PADOVA | |
| | 35 | TVERDOSTUP Tamara | 1979 | W35 | UKR UKRAINE | DNF |
| | 27 | APRILE Giulia | 1995 | W | ITA ITALY | DNF |
| | | | | | C.S. ESERCITO | |
