It is common and safe to have multiple versions (e.g., 2013, 2015, 2022) installed simultaneously, as different apps require specific year-versions.
Malware often disguises itself using names similar to legitimate system files to trick users into downloading them.
A file with a name like Microsoft_Visual_C_Pack_Redistrib (especially if it ends in .exe or is found in a temporary folder) is highly suspicious.
Removing these can cause programs to stop working or Windows to become unstable. Security Warning: Identifying Fake Files
Standard official downloads are typically named vc_redist followed by the architecture (x86, x64, or arm64).