The List
There are 112 4 letter words with V as the first letter. The highest scoring is VIZY at 19 points in Scrabble. 1 carry three or more vowels, which makes them useful for dumping a vowel-clogged rack.
VACSVADEVAESVAGIVAGSVAILVAINVAIRVALEVALIVAMPVANEVANGVANSVANTVARAVAREVARSVARYVASAVASEVASTVATSVATUVAUSVAUTVAVSVAWSVEALVEEPVEERVEESVEGAVEGOVEHMVEILVEINVELAVELDVELEVELLVENAVENDVENTVERAVERBVERDVERSVERTVERYVESTVETOVETSVEXTVIAEVIALVIASVIBEVIBSVICEVIDEVIDSVIEDVIERVIESVIEWVIGAVIGSVILDVILEVILLVIMSVINAVINEVINOVINSVINTVINYVIOLVIREVIRLVISAVISEVITAVITEVIVAVIVEVIVOVIZYVLEIVLOGVOARVOESVOIDVOIPVOLAVOLEVOLKVOLSVOLTVORSVOTEVOWSVRILVROTVROUVROWVUGGVUGHVUGSVULNVUMS