I'm not sure what you mean by "develop a genetic risk score". Are you asking about:
1. How to determine what SNPs, and with what weights, should be included in a PRS formula?
OR
2. actually calculate PRS values for specific samples
?
#2 is what PLINK's --score does. But I don't believe you can just do #2 only against a full GWAS stats file and expect the results to be meaningful, due to LD, winners-curse, among other issues. That's why there are numerous tools/methods under development to address #1.
Try working through this:
https://choishingwan.github.io/PRS-Tutorial/As for GWAS-VCF, I suspect you're referring to
this proposed standard, which does seem like a good idea because, yea, GWAS stats are so inconsistently formatted. But AFAIK, that very new proposed standard has not been adopted by any of the tools you'll likely need to be using for PRS work (e.g. PLINK2, PRS-CS, LDpred2, PRSice2, ...).