Label the $4\times4$ grid cells by coordinates $(x,y)$ with $x=1,2,3,4$ from left to right and $y=1,2,3,4$ from bottom to top.
From the figure, the initially black squares are $(3,4)$ (top row, third column), $(1,3)$ (second row, first column), and $(3,1)$ (bottom row, third column).
Symmetry conditions:
- Reflection about the vertical midline $PQ$ maps $(x,y)\mapsto(5-x,y)$.
- Reflection about the diagonal $MN$ (the line $y=x$) maps $(x,y)\mapsto(y,x)$.
Close the set under both reflections (and hence under their composition).
Start with $S=\{(3,4),(1,3),(3,1)\}$.
Apply $PQ$: $(3,4)\!\to\!(2,4)$, $(1,3)\!\to\!(4,3)$, $(3,1)\!\to\!(2,1)$, so add $\{(2,4),(4,3),(2,1)\}$.
Apply $MN$: $(2,4)\!\to\!(4,2)$ and $(2,1)\!\to\!(1,2)$; the images of $(3,4),(1,3),(3,1),(4,3)$ are already in $S$. Add $\{(4,2),(1,2)\}$.
Applying the reflections again yields no new cells (closure reached).
Final symmetric set:
$\{(3,4),(2,4),(4,3),(1,3),(4,2),(1,2),(3,1),(2,1)\}$ — a total of $8$ squares.
Since $3$ were already black, the minimum additional squares needed $=8-3=5$.
\[
\boxed{5}
\]