diff --git a/test/t/047_hnsw_vacuum_insert.pl b/test/t/047_hnsw_vacuum_insert.pl
new file mode 100644
index 0000000..42fe476
--- /dev/null
+++ b/test/t/047_hnsw_vacuum_insert.pl
@@ -0,0 +1,37 @@
+use strict;
+use warnings FATAL => 'all';
+use PostgreSQL::Test::Cluster;
+use PostgreSQL::Test::Utils;
+use Test::More;
+
+my $dim = 3;
+my $array_sql = join(",", ('random()') x $dim);
+
+# Initialize node
+my $node = PostgreSQL::Test::Cluster->new('node');
+$node->init;
+$node->start;
+
+# Create table and index
+$node->safe_psql("postgres", "CREATE EXTENSION vector;");
+$node->safe_psql("postgres", "CREATE TABLE tst (i serial, v vector($dim));");
+$node->safe_psql("postgres", "ALTER TABLE tst SET (autovacuum_enabled = false);");
+$node->safe_psql("postgres",
+    "INSERT INTO tst (v) SELECT ARRAY[$array_sql] FROM generate_series(1, 1000) i;"
+);
+$node->safe_psql("postgres", "CREATE INDEX ON tst USING hnsw (v vector_l2_ops);");
+
+$node->pgbench(
+    "--no-vacuum --client=5 --transactions=1000",
+    0,
+    [qr{actually processed}],
+    [qr{^$}],
+    "concurrent INSERTs, DELETEs, and VACUUM",
+    {
+        "047_hnsw_vacuum_insert_insert\@500" => "INSERT INTO tst (v) VALUES (ARRAY[$array_sql]);",
+        "047_hnsw_vacuum_insert_delete\@500" => "DELETE FROM tst WHERE i = (SELECT i FROM tst LIMIT 1);",
+        "047_hnsw_vacuum_insert_vacuum\@1" => "VACUUM tst;"
+    }
+);
+
+done_testing();