I ma using this plugin for about 6 month (the pro version), it has no problems wit h vBSEO,
and about your question : there is no need for you to flush the cache unless you make some changes to your forum (like templaes / images etc) then in some cases you should flush the cache manually , and about the Full Page cache for guests (my favorite feature in the Pro version) there is an option for the expire time , I set 24h for this setting , so every 24h it flushed the full page cache automatically ...
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