I had sex with my boyfriend about 4 or 5

Patient : I had sex with my boyfriend about 4 or 5 days ago when he decided to 'go' inside me. I did not take my birth control pill that day or the day before that however. I believe the day of or the day before I was drinking a lot of alcohol. Does this reverse the effectiveness of the pill? Also, after we had sex, I took a pill the day after and missed one the next day. But the next day I took a birth control pill. I started spottin yesterday as a result of missing 2 pills, so I took one yesterday so the bleeding would stop and when I woke up today, There was barely any blood. Is it a chance I can be pregnant?
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