Final approved means your file has been approved. No further ifs or buts- all assessments done(yes security as well). They would've issued you COPR/Counterfoil(PR Visa) if there was no border restrictions(CBSA requested IRCC to stop sending PPRs to outlanders sometime early 2021). If you dig deeper into your GCMS notes you will see COPR/Counterfoil details generated. I'm assuming you're an Outlander or you have an Outland Dependent. Had you been CEC inland, you would get PR portal request almost as soon as Final Decision is made on your file.
However, your medicals must have expired by now, so they'll have to reopen your file, reassess medicals(extend or ask for a remedical) then RE-APPROVE your file. Then you'll get the PPR/COPR.
As for when they would do that: we don't know. But they are planning on completing contacting all the expired COPRs by 31 Oct 2021. Perhaps after that they'll look into your file.