What you're talking about here is not really vacuum-relevant as the poor saps nearby are not exposed to lack of proper decompression from immediate, massive, pressure gradients (if they were then you would be talking about "bends" type issues - lung, inner ear/Eustachian tubes damage). However, the massive pressure differentials in such a small space should, theoretically, have enormous impact on the immediate environment. You're talking about enormous wind-speed moving particulates and anything not tied down (probably even the user) from the normal/high pressure of the prime world toward that pinhole apparatus that opens to that extreme low pressure. It would basically be physical trauma damage from shrapnel/flying objects (like in a tornado). Escaping it would be an exceedingly high Str check.