For an example of a real victim, look at Qatar, a country which only has a single IP address for the entire country (everyone sits behind a NAT): https://en.wikinews.org/wiki/Qatari_proxy_IP_address_tempora... [0]
Whenever someone from Qatar decides to vandalize Wikipedia, Wikipedia is forced (temporarily) to block the entire country from accessing Wikipedia. This has an adverse impact on the rest of the country.
Non-Qatari Wikipedia users also suffer, because Wikipedia makes those blocks very temporary (since they are effectively shutting off an entire country), which makes it easy for those vandals to regain access to Wikipedia quickly.
[0] This sad state of affairs is not solely due to IPv4 (incompetent/apathetic network administrators are also at fault), but it's a contributing factor.