In The Land of Leadale Vol 1

In The Land of Leadale Vol 1 by Ceez. A Fantasy manga rated Teen, published in English by Yen Press in 2021.

Keina Kagami, confined to a hospital bed, dies while connected to her favorite VR game, and wakes up inside its world two hundred years later as her character Cayna, a high elf with overwhelming power. She sets out to explore a world that has moved on without the players.