| Name | Mannschaft | Zeit | ||
|---|---|---|---|---|
| 1 |  | Ariarne Titmus | Ariarne Titmus | 4:01.66m |
| 2 |  | Erika Fairweather | Erika Fairweather | +0.62s |
| 3 |  | Paige Madden | Paige Madden | +2.32s |
| 4 |  | Muhan Tang | Muhan Tang | +2.41s |
| 5 | | Tamsin Cook | Tamsin Cook | +3.14s |
| 6 |  | Ajna Késely | Ajna Késely | +3.68s |
| 7 |  | Waka Kobori | Waka Kobori | +3.91s |
| 8 |  | Leonie Kullmann | Leonie Kullmann | +8.59s |
| # | Land | Gold | Silber | Bronze | Gesamt | |
|---|---|---|---|---|---|---|
| 1 | | USA | 39 | 41 | 33 | 113 |
| 2 | | China | 38 | 32 | 19 | 89 |
| 3 | | Japan | 27 | 14 | 17 | 58 |
| 4 |  | Grossbritannien | 22 | 20 | 22 | 64 |
| 5 |  | Russian Olympic Committee | 20 | 28 | 23 | 71 |
| 6 | | Australien | 17 | 7 | 22 | 46 |
| 7 |  | Niederlande | 10 | 12 | 14 | 36 |
| 24 |  | Schweiz | 3 | 4 | 6 | 13 |
