Here is how it works.
You pay 15 dollars per application you send out to an institution. When you look, the dates you want will be available and showing as such on VSAS. Months go by, and you hear nothing. Eventually you follow up with the institution's office, and there is a 5% chance of hearing back. If you hear back, you're told all the spots are full. And yet, you're still showed as pending on VSAS for that rotation, and that elective still shows as having spots. Therefore, tons of students continue applying to that elective in hopes of grabbing a spot (still shows as available after all), and VSAS continues to rake in the guacamole when it should have no business doing so. And god help you if you try to reach out to the institution to see if there are actually spots available before applying on VSAS, you'll be told to submit an application to VSAS. If I screenshot the 4 pages of VSAS electives I currently have sitting on "institutional review" you'd understand what I'm talking about.
TLDR: Another wonderful racket students in medical school are subject too. My blood boils over these sorts of things. Those 15 dollar apps add up...