Could the test be neg and i still be pregnant?

Patient : I had my period Aug 29, had sex on Sep 12 and Sep 20. Started spotting, dark brown on Sep 21. I just wear a pantliner no pad needed. ...its now sep30, no period but still spotting and neg home test. i am late with my period but still neg, and still spotting.
Symptoms:  Headaches
Dizziness
Very tired
Cramping
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