Coastal areas are socioeconomically important but are susceptible to disturbances by both natural and manmade events. On March 11, 2011, the eastern coast of Japan was seriously inundated by a massive tsunami following the 2011 Tohoku earthquake. The tsunami caused a major disturbance around the coastal area. However, an understanding of the consequences of such an event is often hampered by a lack of knowledge of prior conditions. Furthermore, field observations during and immediately after the event are often particularly difficult. The present study demonstrates that environmental reconstruction by geochemical and growth pattern analyses of mussel shells successfully revealed transitional (daily) environmental changes caused by the Tohoku tsunami. A pronounced surge in shell Mn/Ca ratios observed immediately after the tsunami implies a drastic emission of pore water following sediment disturbance as well as a large input of terrestrial material through backwash. The subsequent decrease of the high Mn/Ca peak indicates a prolonged tsunami disturbance effect over ca. 40 days, with the stabilized shell Mn/Ca ratios observed thereafter (being higher than that prior to the tsunami) suggesting that the latter had altered the coastal environment, allowing for greater susceptibility to terrestrial input following ground subsidence and loss of coastal levees. Shell Mn/Ca patterns provide evidence for the tsunami-generated release of materials stored in sediments, such as organic, nutrient, and pollutant materials, which are then suspended in the water column for sufficient periods to allow for incorporation into geochemical cycles. Although the greatest environmental disturbance occurred immediately after the tsunami, the effects lasted for longer than several months thereafter.