I found the following post about this issue with no replies.
http://www.pdfforge.org/forum/help/4817-pdf-creator-only-when-i-manually-start-print-monitor-first
The printer works as it should the only problem is I can't seem to make it print without this monitor running. I agree with the above post why doesn't it call the monitor if it needs it?
I currently have it in my startup folder but I hate the popup on startup. Does anyone know how to at least start this minimized to the system tray? I keep thinking the next update will address this but it hasn't as of yet.
BTW: I'm running Windows 7 Pro x64