When I turned on the car I immediately noticed how rough it was idling. The engine seemed to be jumping up and down slightly but enough to make it noticeable. The engine light was on steady for about 20 to 30 seconds when it started blinking. Shortly after it started blinking, the VTM-4 light came on as well as the VSA light. So I called the dealership and they told me if I was in the area I could drive it over but not to drive too far if the lights were blinking.
I made it to the dealership without any additional problems but the Pilot definitely had some performance and engine idling issues. Seemed to be misfiring quite a bit. The notification center had the following messages displaying in text:
"Check Emissions System"
"Check VSA System"
Now we play the waiting game to hear back from the service advisor from the dealership.
UPDATE 10/7/13: I just realized that I never updated this post with what the outcome was. Apparently it was caused by misfire in one of the spark plugs. So a new spark plug and full tune up later, they got me for $378.26.