To be exceedingly happy and content.
The full phrase is "happy as a clam at high tide." Clams can only be dug up at low tides, so at high tide a clam is safer and secure, so therefore, happy.
Everything in my life seems to be going great; I'm happy as a clam.
by weijajo April 7, 2009
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Joyful and contented, happy with life as it is because who doesn't want to be a vagina?
I've finished all my papers for the next 3 days, now I can go surfing. I'm as happy as a clam!

Dude: "You seem really chuffed with life and comfortable in your own skin."
Other Dude: "Hells yeah! Man, I'm as happy as a clam!"
by defyNING November 5, 2013
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