The big issue with me and MMOs is that they pretty much stick a foot up the ass of modders and mod fans. A lot of modders put armors and weapons from other series and IRL into Fallout (and everything else, but we're just sticking on Fallout for the time being), which wouldn't fly legally, of course, but modding is a non-profit community pastime that makes the game feel more original and gives it more personalized content.
That doesn't matter worth a damn to the developers of a hypothetical "Fallout Online".
I'd be tickled pink if there was a cooperative version of Fallout 4, where you could journey around with a friend provided that you have all the same mods enabled (of course). I heard there's something like that for Skyrim.