According to SageMath computations, there are 1544 connected, 4-regular graphs. Exactly 2 of these are symmetric (ie, arc transitive), also vertex-transitive and edge-transitive. Exactly 8 of these are vertex-transitive but not edge-transitive. None are distance regular.
Example 1: The first example of such a symmetric graph is the circulant graph with parameters (12, [1,5]), depicted below. It is bipartite, has girth 4, and its automorphism group has order 768, being generated by .
Example 2: The second example of such a symmetric graph is the cuboctahedral graph, depicted below. It has girth 3, chromatic number 3, and its automorphism group has order 48, being generated by .