| Name | Mannschaft | Zeit | ||
|---|---|---|---|---|
| 1 |  | Yui Ohashi | Yui Ohashi | 4:32.08m |
| 2 |  | Emma Weyant | Emma Weyant | +0.68s |
| 3 | | Hali Flickinger | Hali Flickinger | +2.82s |
| 4 |  | Mireia Belmonte Garcia | Mireia Belmonte | +3.05s |
| 5 |  | Katinka Hosszu | Katinka Hosszu | +3.90s |
| 6 | | Viktoria Mihalyvari-Farkas | Viktoria Mihalyvari-Farkas | +5.67s |
| 7 |  | Aimee Willmott | Aimee Willmott | +6.22s |
| 8 |  | Ilaria Cusinato | Ilaria Cusinato | +8.57s |
| # | 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 |
