Pedestrian intention and trajectory prediction are critical for the safe deployment of autonomous driving systems, directly influencing navigation decisions in complex traffic environments. Recent advances in large vision-language models offer a powerful new paradigm for these tasks by combining high-capacity visual understanding with flexible natural language reasoning. In this work, we introduce PedestrianQA, a large-scale video-based dataset that formulates pedestrian intention and trajectory prediction as question-answering tasks augmented with structured rationales. PedestrianQA expresses richly annotated pedestrian sequences, in natural language, enabling VLMs to learn from visual dynamics, contextual cues, and interactions among traffic agents while generating concise explanations of their predictions without needing specialized architectures tailored for each task. Empirical evaluations across PIE, JAAD, TITAN, and IDD-PeD show that finetuning state-of-the-art VLMs on PedestrianQA significantly improves intention classification, trajectory forecasting accuracy, and the quality of explanatory rationales, demonstrating the strong potential of VLMs as a unified and explainable framework for safety-critical pedestrian behavior modeling.