In a recent paper, Pawale (Des Codes Cryptogr, 2010) investigated quasi-symmetric 2-(v, k, lambda) designs with intersection numbers x > 0 and y = x + 2 with lambda > 1 and showed that under these conditions either lambda = x + 1 or lambda = x + 2, or D is a design with parameters given in the form of an explicit table, or the complement of one of these designs. In this paper, quasi-symmetric designs with y - x = 3 are investigated. It is shown that such a design or its complement has parameter set which is one of finitely many which are listed explicitly or lambda acurrency sign x + 4 or 0 a parts per thousand currency sign x acurrency sign 1 or the pair (lambda, x) is one of (7, 2), (8, 2), (9, 2), (10, 2), (8, 3), (9, 3), (9, 4) and (10, 5). It is also shown that there are no triangle-free quasi-symmetric designs with positive intersection numbers x and y with y = x + 3.