The precious fuel is so full of energy that it gets hot ("decay heat"). Without cooling, it melts. Cooling was lost during the most powerful earthquake ever recorded in Japan, the fourth most powerful earthquake ever recorded anywhere.
The "Great East Japan Earthquake" and its tsunami killed 19,759 people. The earthquake was a terrible tragedy. See https://en.wikipedia.org/wiki/2011_T%C5%8Dhoku_earthquake_an...
Meanwhile, the precious fuel remained safely entombed within the concrete and steel vessel that was designed to contain it. Without cooling, the fuel got hot ("decay heat") and melted, always safely enclosed within the vessel.
Unfortunately, during attempts to cool the fuel in the aftermath of the earthquake, some radioactive fission products were released into the environment: caesium, iodine, xenon, etc. These fission products have been diluted and are harmless. See the section "Radionuclide release" here: https://en.wikipedia.org/wiki/Fukushima_nuclear_accident
How much harm did the radioactive fuel cause? Quoting Wikipedia:
No adverse health effects among non-worker Fukushima
residents have been documented that are directly
attributable to radiation exposure from the accident,
according to the United Nations Scientific Committee on
the Effects of Atomic Radiation.
Insurance compensation was paid for one death from lung
cancer (4 years later), but this does not prove a causal
relationship between radiation and the cancer.
Six other persons have been reported as having developed
cancer or leukemia. Two workers were hospitalized because
of radiation burns, and several other people sustained
physical injuries as a consequence of the accident.
https://en.wikipedia.org/wiki/Fukushima_nuclear_accident