Birth Control Symptoms

Patient : Hi, I am on Tricira Lo as birth control. I am 1.5 weeks into this new pack. I take it religiously everyday. I got cramping today, and for the past couple of days I have had spotting. I skipped my period last month by starting the new pack right away, but am concerned that now I may be pregnant because these things usually never happen for me until in the final week of the pack. My breasts were sore a couple of days a couple of weeks ago when I switched from the final week of pills to the first week of the new pack. I thought that was normal just because of the difference in hormone levels of the 3rd and 1st week of pills. I am wondering if this cramping is normal, or if I might be pregnant?
Symptoms:  Spotting, slight cramping
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