| 1 | Francesca Lollobrigida (Senior) | ITA | 4:02.97 | SB | - |
| 2 | Linda Rossi (Senior) | ITA | 4:08.75 | PB | +5.780 |
| 3 | Alice Marletti (Neo) | ITA | 4:10.31 | SB | +7.340 |
| 4 | Emily Tormen (Neo) | ITA | 4:13.45 | PB | +10.480 |
| 5 | Laura Lorenzato (Senior) | ITA | 4:15.52 | | +12.550 |
| 6 | Giulia Presti (Neo) | ITA | 4:16.62 | | +13.650 |
| 7 | Julia Geutner (Neo) | GER | 4:21.00 | | +18.030 |
| 8 | Nele Charline Neumann (Neo) | GER | 4:27.10 | PB | +24.130 |
| 9 | Martina Pita (Neo) | ECU | 4:29.10 | NR | +26.130 |
| 10 | Giulia Lollobrigida (Senior) | ITA | 4:29.81 | SB | +26.840 |
| 11 | Katerina Macháckova (Neo) | CZE | 4:32.70 | PB | +29.730 |
| 12 | Luna Díaz Barragán (A2) | COL | 4:32.72 | PB | +29.750 |
| 13 | Teresa Moreno (Senior) | ESP | 4:33.34 | SB | +30.370 |
| 14 | Abril del Rio Calonge (Neo) | ESP | 4:34.24 | PB | +31.270 |
| 15 | Jesika Forstova (Neo) | CZE | 4:35.31 | SB | +32.340 |
| 16 | Marije van der Spek (Neo) | NED | 4:36.80 | PB | +33.830 |
| 17 | Paula Espin Real (B2) | ESP | 4:38.17 | PB | +35.200 |
| 18 | Ona Rodriguez Cornejo (A1) | ESP | 4:40.70 | SB | +37.730 |
| 19 | Irina Platona (A1) | ROU | 4:43.19 | PB | +40.220 |
| 20 | Josephine Grill (A1) | SWE | 4:48.13 | SB | +45.160 |
| 21 | Marta Papoušková (B1) | CZE | 4:49.40 | PB | +46.430 |
| 22 | Barbora Sábliková (B1) | CZE | 4:54.41 | | +51.440 |
| 23 | Adela Petrusova (Neo) | CZE | 4:58.96 | SB | +55.990 |
| 24 | Mireia Tellez (A1) | ESP | 5:05.88 | SB | +1.02.910 |
| 25 | Heidi Hugener (Neo) | SUI | 5:10.51 | PB | +1.07.540 |
| 26 | Elena Díaz Martin (B1) | ESP | 5:45.96 | PB | +1.42.990 |
| DQ | Celia Cerisola (B1) | ESP | DQ | | - |