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I solved it by using this guides ini settings: https://www.reddit.com/r/fo4vr/comments/7wbbgw/fallout_4_vr_is_awesome_dont_give_up/
I haven't looked into exactly what setting that changes the sensitivity but I found the other changes suited me anyway.
To use the pip boy you now use the left trigger and it also pauses the game.
To see your health you point your weapon upwards.
Die einzige Option war die Ansicht des Pip-Boy zu ändern. Also ich hatte es auf Fullscreen
The scrolling right is very picky, you really have to hit the D pad in the right 'right' spot or it won't work.
I also tried left then right multiple times, but it really does not do anything for me. Would love to hear any suggestions since the game is not really playable without working Pip Boy