One and a half years before the events of Another, Izumi had a cousin, though they were raised more like siblings. Unfortunately, he died as a result of the Class 3-3 calamity, possibly either by suicide or accident. On the path next to the riverside, a distraught Izumi called her cousin an idiot for dying and furiously kicked a can lying on the ground. The can flew and accidentally hit someone on the path at the bottom of the grassy hill. As Izumi rushed down the hill to apologize, she lost her balance and fell, landing at the bottom. The boy she hit with the can, Kōichi Sakakibara, offered her a hand. Touched, Izumi accepted. Kōichi noticed that Izumi looked upset, and she told him that she had lost someone close. He admits that he has also lost someone, having to visit Yomiyama North Middle School that day to attend the funeral of a relative. It is unknown how their encounter ended, but Kōichi later returned to Tokyo.
After the calamity began, one and a half years later, and the extra one for that year entered the class, Izumi's memory of this encounter was altered along with Kōichi's, but she still recalled the impression of Kōichi's hand on hers, and for most of the series, she would struggle to recall this memory.
On the very first day of the school year (before Kōichi transferred), Izumi volunteered herself to be the head of countermeasures for Class 3-3, out of determination to ensure that the calamity that killed her cousin never happens again. At the same time, fellow student Mei Misaki is chosen as the 'non-existent', to balance out the number of students and prevent the calamity, and it becomes Izumi's job to enforce this countermeasure. However, complications arise when Kōichi returns to Yomiyama to live with his grandparents and aunt Reiko, and transfers to Class 3-3. Since the non-existent had already been chosen, they, the class officers, the teachers, and Reiko, an alumni of the class, fail to tell Kōichi about the curse, merely repeating mantra to "uphold class rules" without explaining what they were, as it would mean acknowledging that there is an extra, leaving Izumi and the rest of the class in a difficult position for the first half of the series.
In "Rough Sketch", Kōichi is admitted to the hospital with a collapsed lung, forcing him to miss the first couple of weeks of school. As he was recovering, Izumi, along with class representatives Tomohiko Kazami and Yukari, paid him a visit on behalf of the class, and partly to see if he was the extra one that year. After they ask him several questions regarding whether or not he had been in Yomiyama before, Izumi offers to shake his hand, since there was a rumor that the extra ones' hands felt cold to touch. When Kōichi accepted, Izumi recalled the impression of his, but she was unable to recall the memory.
Later, she was upset with herself for being absent on Kōichi's first day in class.
Like the others, she hesitated to tell Kōichi about the class curse after Yukari's death, a decision she later comes to regret.
In "Put Flesh", she and Naoya Teshigawara argued against the background when they heard a huge crash through Kōichi's cell phone (which was Sanae Mizuno's elevator crashing). She held a grudge against Mei and Kōichi for disregarding the rules and therefore causing most of the deaths. Then, in "Build Limbs", she apologized for no readily apparent reason to Kōichi, telling him it was for everyone's safety. From that moment on, she and the rest of the class ignored him. Later, Kōichi returns to the empty classroom to see that the class had elected a new female class representative. Izumi had received 24 votes to 2 votes for Aya Ayano. Mr. Kubodera, walking past the empty classroom, confirms the election to Kōichi.
In Episode 7, after she witnessed Shoji Kubodera's death, she confronted Kōichi and the others on the rooftop. In the next scene, when Kōichi and Mei visit Tatsuji Chibiki in his office, they pass Izumi leaving. Chibiki tells them that Izumi had been consulting him about countermeasures. Later on, Izumi met with Kōichi, Naoya, and Yūya Mochizuki in the Inoya Café. They acquired information about Katsumi Matsunaga and decided to look for him for help to solve the calamity.
In Episode 8, the team went out of Yomiyama to look for Matsunaga, and they had fun at the beach while waiting for his call; Izumi took her Countermeasures partner, Takako Sugiura, with her, as well as their mutual friend Junta Nakao, a decision Izumi came to regret. While not accomplishing much, Izumi played with her friends at the beach while they waited for Matsunaga to get off work. Their fun was cut short, however, when Junta was hit by a yacht and eviscerated.
In Episode 9, after Junta's funeral, Izumi walked the still-shaken Takako home; she took time out from looking after her friend to glare at Kōichi and Mei, who she held responsible for his death.
In Episode 10, at the beginning of the episode, Izumi dreams of the day she met Kōichi, while mourning her cousin's death. During the first dinner of the class trip, she gave a speech on the curse issue, demanding an apology from Mei for allowing the deaths to continue. The confrontation is cut short by Daisuke Wakui's asthma attack, and he's sent to the hospital.
In Episode 11, she talks about Mei's past with Takako. Later, when Kōichi and the others are in the hall, she hears the ruckus and goes to check. They heard a scream and Izumi recognized Takako's voice. They hurried up to Izumi's room and found the door stained with blood. Takako was missing, but she later appears with a blade and tries to kill Mei. Izumi was shocked and was pushed to the side. Takako later escapes, and Izumi tells Kōichi and Mei about how she, as the head of countermeasures, had to listen to the tape. A few seconds later, Takako broadcasts the tape and tells everyone that Mei is the dead one, asking everyone to kill her. At the end of the episode, Izumi finds Kōichi and Mei standing near Takako's body, much to her shock and horror. Izumi draws the wrong conclusion and thinks Mei killed Takako. She becomes enraged and vows to kill Mei.
In Episode 12, when Tomohiko attempts to kill Kōichi, Izumi steps in to save him and hits Tomohiko with a metal rod, knocking him unconscious. She then attempts to deal a fatal blow as she believes he does not deserve to live after murdering two classmates. However, she was stopped by Mr. Chibiki as he feels classmates should not kill each other, and Izumi runs off. Later, she finds Mei and attempts to kill her. However, Kōichi stops her to protect Mei and attempts to reason with her. She ignores him and says that she must kill Mei to end the calamity and protect everyone. When Izumi finally gets a hold of Mei, Kōichi knocks Izumi off her and restrains her to prevent her from attacking Mei. Feeling both anger and sadness, she knee-jabs him in the groin, then hits him with a metal rod, causing him to fall backwards onto Mei. With tears in her eyes, she demands to know why he was protecting Mei and says that all she wanted to do was protect him and everyone else. Asking if he had some sort of a death wish, she attempted to kill both Kōichi and Mei, but at that moment, lightning strikes. The lightning shatters the hall's giant window, and large glass shards are sent flying towards them.
Izumi ends up being skewered against the wall by the glass shards. Kōichi, shocked, removes her from the wall. While lying on the floor bleeding, Izumi tells Kōichi that they had actually met before, one and a half years ago. She was upset over the loss of her cousin and kicked a can from the top of the riverbank, which hit Kōichi, who was down below. She rushed down to apologize, but tripped and fell and had to be helped up by Kōichi. She asks whether Kōichi remembers this, and he replies that he doesn't. Disappointed that he doesn't remember, she tells him that he should at least pretend to remember before she dies. Kōichi says her name, but before he could say anything else, an explosion occurs and the inn begins collapsing. Izumi is buried by the rubble as Kouichi and Mei escape.