The increase in damage -- over and above that caused by the bomb itself -- would be dominated by the dispersion of radioactive isotopes from spent fuel stored onsite, and/or from the reactor core.
Both the core and any spent fuel rods contain fission products: new nuclei formed by the nuclear reactions. The radioactive intensity and long half lives of some of the fission products makes them much more dangerous in aggregate than fallout from the nuclear bomb itself. The available mass of such isotopes further magnifies the potential for deaths and grave health effects from their release.
The extent to which a bomb could release reactor fission products depends on its yield, distance from the reactor building, and the plant's design.
It's a difficult case to analyze, but I judge it likely that even with the most conservative reactor building designs, a fusion bomb exploded at short range would likely rupture the reactor pressure vessel; spent fuel storage will be much more vulnerable.
The bomb need not vaporize the fuel rods: when they are removed from cooling water, their internal heat will cause vaporization and combustion, dispersing the radionuclides through the atmosphere.