First determine whether the PDF contains text
Some PDFs contain selectable characters; others are scans of pages stored as images. Text extraction can work from a text layer, while scanned pages need OCR to estimate characters. The methods have different error patterns and should not be treated as equally reliable.
Try selecting a line in the source reader and compare extracted words with the page. If the document is scanned, inspect names, figures, and punctuation carefully. Low contrast, skew, unusual type, and handwriting can all reduce recognition accuracy.