I got a lower score on my COMLEX level 1 than you (and also have red flags like a failed course, graduating off-cycle, etc.) and ended up matching into an internationally known top-tier IM residency program.
While I am certainly the exception, I was successful despite the red flags because I have an obvious passion for medicine (I'm one of those people who loves medicine and patient care so much it borders on annoying), I changed my study strategies (turned out, I was studying completely wrong), I worked my tail off to improve my application, did well on ALL of my shelf exams/boards after the fail, excelled in all of my clinical rotations, applied strategically, and really put myself out there (so much so that there were attendings demanding program directors to interview me even though I didn't meet their minimum X requirements-- having people in your corner REALLY helps).
You're literally a few questions away from passing... why not restrategize how you are to study for COMLEX, retake it, see how you do, and decide from there? You've made it this far. Plus, getting into PA school requires a whole different set of requirements-- lots of programs now require THOUSANDS of hours of clinical experience prior to applying (which is why every other ER scribe is a PA hopeful). You've made it this far. If I can do it, so can you... as long as you want it and are willing to put in the effort.
Good luck.