No, as long as their are no open PHP files, I don't get any messages from VSCode. It starts a few seconds after the first PHP file is opened in an editor window.
An apt-get update is not really possible, because it is a managed server maintained by Hetzner. We've SSH access, but no root access.
However, this is a dedicated machine, and Hetzner support is usually really helpful and permissive if I could provide them with clear, directed instructions on what to install.