Possible to be pregnant while on birth control and not know?

Patient : I have been on birth control for a few years but the end of Dec-Begining of Jan I stopped taking my pill since I ran out of insurance. I had my period Jan 13-16 and was able to start a new pack. I usually skip my periods due to painful periods so I would have had a period around the 6-9 of Feb but I went right into my new pack. Question is I have tender breasts on the sides and really sensitive nipples.Is this just hormones or could I have gotten pregnant?
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