Harvesting mechanical energy from biological systems possesses great potential for in vivo powering implantable electronic devices. In this paper, a development of flexible piezoelectric nanogenerator (NG) is reported based on mesoporous poly(vinylidene fluoride) (PVDF) films. Monolithic mesoporous PVDF is fabricated by a template-free sol-gel-based approach at room temperature. By filling the pores of PVDF network with poly(dimethylsiloxane) (PDMS) elastomer, the composite's modulus is effectively tuned over a wide range down to the same level of biological systems. A close match of the modulus between NG and the surrounding biological component is critical to achieve practical integration. Upon deformation, the composite NG exhibits appreciable piezoelectric output that is comparable to or higher than other PVDF-based NGs. An artificial artery system is fabricated using PDMS with the composite NG integrated inside. Effective energy harvesting from liquid pressure fluctuation (simulating blood pressure fluctuation) is successfully demonstrated. The simple and effective approach for fabricating mesoporous PVDF with tunable mechanical properties provides a promising route toward the development of self-powered implantable devices.