Jordan Chiles, Suni Lee and Grace McCallum won silver along with Simone Biles — despite her sudden exit from competition — at the women's team gymnastics final on Tuesday at the Tokyo Summer Olympics.
The Russian athletes placed first ahead of the U.S. and third-place Great Britain, who all beat out Belgium, China, France, Italy (who came in fourth) and host nation Japan.
The result is a shock of sorts for Team USA, which has dominated women's gymnastics in recent Olympics and has competed closely against the Russians, their rivals. Russia also won gold in the men's team gymnastics event on Monday.
During the women's preliminary competition on Sunday, the U.S. made uncharacteristic errors that saw them trailing Russia. It was the first time the Americans weren't at the top of a leaderboard in an Olympics or world championship since 2010.
At Tuesday's final, Chiles, Lee and McCallum — all first-time Olympians — carried on with the competition after their veteran captain Biles, the 24-year-old reigning Olympic all-around champion, left the floor following the vault, her first apparatus and her signature event.
For more on Simone Biles withdrawing from the gymnastics team final and other top stories, listen below to our daily podcast PEOPLE Every Day.
Officials then said she would not be returning to competition because of her health but were not more specific.
Simone Biles with coach Cecile Canqueteau-Landi
"Simone has withdrawn from the team final competition due to a medical issue," USA Gymnastics said in a statement to PEOPLE and other outlets. "She will be assessed daily to determine medical clearance for future competitions."
Speaking with reporters after the final ended, Biles said she was "okay, just dealing with some things internally which will get fixed out in the next couple of days."
She said she planned to return for Thursday's all-around final.
In her vault event, Biles completed 1.5 twists instead of an Amanar and took a large hop forward on the landing for a total of 13.766, the lowest vault score of her Olympics career.
Meanwhile, Lee, an 18-year-old from Minnesota who will compete in the individual all-around competition alongside Biles later this week, was a standout with a score of 15.400 on the uneven bars, which is one of her strongest events.
Chiles, who moved from Washington to train with Biles in Texas, scored a strong 14.666 on vault. Then, with less than 10 minutes after learning she would replace Biles on bars, Chiles delivered a strong routine, earning a score of 14.166. She suffered in her floor routine, however, with a score of 11.700.
McCallum, another 18-year-old from Minnesota, scored a 14.300 on vault before she scored 13.700 on bars, during which she hit her foot on the low bar.
In Tokyo, Biles was expected to compete for six gold medals. She made the event finals in vault, floor, bars and beam, in addition to team and all-around.
After a brief leave during Tuesday's final, Biles returned to the floor before the U.S. competed on uneven bars and was seen hugging her teammates and, as she remained on the side, she was dressed in her white Team USA warm-up gear.
To learn more about Team USA, visit TeamUSA.org. Watch the Tokyo Olympics now on NBC.