as per the IRCC email we need to comply within 30 days, We already did our part, if within 2 weeks not yet updated we plan to do another medical using their medical request. though its waste of money, i think i will take the risk. goodluck to all of us.I did my upfront medical in Feb/2021, until now they have not updated anything on ircc acc. However on the gcms note, it said "Pass"and nothing change. I think it depends on luck too. Good luck!!!