Is this a unit direct from ModalAI? If it is, it should be tuned or you could load default parameters from https://gitlab.com/voxl-public/flight-core-px4/px4-parameters/-/tree/master/platforms for your version of PX4 and platform.
Then from there you load a helper through QGroundControl parameters page: https://gitlab.com/voxl-public/flight-core-px4/px4-parameters/-/tree/master/helpers
That should get you close to a decent tune.
If this is a custom drone, you need to configure your extrinsics, calibrate your camera, and validate QVIO first before attempting to fly which it looks like you are attempting to do. The VOXL portal qVIO overlay will show you points selected as well as distance traveled which you can validate against manually moving the drone around prior to any attempts to fly. The camera needs to have areas of contrasting features in view -- so reflective floors or some repetitive patterns can be a challenge for qVIO.