It's only been a couple days.
I'm on Windows 10, followed the installation instructions. I'm not sure how to verify it was setup correctly, I placed everything where it was said to place it. Not sure what more I can do there.
From what I could see the VAICOM Pro plugin could be opened using LCtrl+LAlt+C and I could mess around in there. VoiceAttack told me the plugin was initialised and the program itself was recognising sentences and DCS specific instructions and names so I think that means the profile was working. However when I loaded up the game it didn't seem like the module was connecting to my DCS, the VAICOM plugin window didn't display any information from the module I was flying (tried across Hornet, F14, Mig 21 and Mig 29).
Any help at this point would be appreciated as I'm not sure where to go from there.
Edit: Everything is also set to run as administrator.