Hello~The chances that your GF is pregnant is fairly slight. Just missing one dose should not affect the chances too much, plus, if she is only a week or two a way from her next cycle, she is probably not ovulating anymore, in which case, she won't be able to get pregnant, a woman can only get pregnant while ovulating which is usually a week after her cycle has finished and she has a window of a few days to conceive. The following is what I have read regarding pregnancy and ovulation:
"The researchers found that the probability of a person getting pregnant rises sharply 7 days after the LMP. This probability of pregnancy is highest at 15 days and returns to zero by 25 days. For the women in the study, the probability of being within the fertile window was: 2 percent at day 4 of their cycle"
Another article states: "One of your ovaries will release an egg (ovulation) about 14 days before your period starts. The first day of your period, when you start bleeding, is counted as the first day of your cycle. If you have a 28-day cycle, you'll usually ovulate some time between day 10 and day 15 of your cycle."
Also, it is very rare to start having the symptoms she is having so quickly. If she is concerned, then a trip to her gyn would be beneficial, I believe they have a pregnancy test that can be taken fairly early, and it is pretty accurate.
Excerpt from Very Well Health - Can You Get Pregnant If You Miss a Pill? Inconsistent dosing can undermine the protective benefit...
"If you miss taking a birth control pill or take one at the wrong time, it does increase your chances of becoming pregnant. However, you shouldn't panic or assume that the protective benefit of treatment has completely disappeared. The drugs do have some "forgiveness" in that levels of the medication will remain in your blood even during a gap.
But it's important to remember that the pill is not infallible. While it is 99 percent effective in women who take the pill on time every day, that figure drops to 91 percent in women whose adherence is less than perfect.1 In the end, the risk of pregnancy increases the more frequently you miss doses and the wider the gap there is between doses. Even the type of oral contraceptive you are taking may contribute.
And if you miss more than one dose per cycle or pill pack, the risk of pregnancy can suddenly become very real, indeed.2"