This isn't a complete answer, but maybe can be a starting point.
A symmetric matrix has eigen-decomposition $A = U\Lambda U^T = \sum_i \lambda_i u_iu_i^T$.
Essentially we can view this as the stretching of a sphere along the directions $u_i$. To compute $Ax$ we can compute the projection of $x$ is on each of the $u_i$, scale these projections by $\lambda_i$, and add them back together.
Now, when we compute $Bx = Ax + uu^Tx$ we additionally compute the projection of $x$ onto $u$ and add this in with the previous projections. If $u$ is in the direction of one of the $u_i$ that means that direction alone will be scaled by an additional amount. More precisely, if $u = c u_j$ for some $j$, then $uu^T = c^2 u_ju_j^T$ so
$$B = A+uu^T = (\lambda_j + c^2)u_ju_j^T + \sum_{i\neq j} \lambda_i u_i u_i^T$$
That is, the eigen value in the direction $u_i$ changes by $c^2$.
Now let's consider what happens if $u$ is in the span of $u_i$ and $u_j$. First, note that the action of $A$ on everything outside of this span is the same as that of $B$. So none of the eigenvalues in the directions other than $u_i$ or $u_j$ will change. More generally, only the eigenvectors who are not orthogonal to $u$ will change.
Consider $u = c_1u_1 + c_2u_2$. Then $uu^T = c_1^2 u_1u_1^T + c_2^2u_2u_2^T + c_1c_2 u_1u_2^T + c_1c_2u_2u_1^T$. So now we see that while the update does contribute to the directions $u_1$ and $u_2$, it also "skews" the original image.
If we viewed the image in this plane as an ellipse, we now get a new ellipse. I'm guessing there is a way to write down the new axes of this ellipse which is the 2d version of your question.
Unfortunately, I'm not exactly sure how to do this.