CEC inland, no dependent.
AOR june 10, 2020.
eCopr August 25, 2021.
Medicals expired and re-passed August 14, 2021 (the message changes from "you do not need a medical..." to "you have passed....")
I called IRCC on August 6 and was told that my eligibility was still at recommend passed, criminality was in progress, and security had not began.
In less than 3 weeks from that call, I have received the thing.
I am sharing this for everyone that is in the same boat, waiting for more than 14 months. Most likely, its just that our applications are in backlog and once the immigration officer does pick them up, they will process them as fast as they possibly can.