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Aren't medical professionals, doctors and the like responsible for sending VAERS reports? It's not like submitting a score to IMDB lol.
No it is actually exactly like submitting a score to IMDB you can read about it here
https://www.cdc.gov/vaccinesafety/ensuringsafety/monitoring/vaers/reportingaes.html
What you are thinking of is the fact that health care providers are obligated to report adverse reactions from their patients to VAERS. Of course that's actually if they will believe the patient and not just dismiss their concern. That being said anyone can submit a report literally anyone with a computer. There are reports on their of men getting pregnant from the vaccine lol.
Vaers was designed as an early warning system, to pick up on stuff that was missed in trials. There is a big difference between testing something on a few thousand people, and injecting it into millions.