Cookie-Based Authentication

Patient Tools

Read, save, and share this guide

Use these quick tools to make this medical article easier to read, print, save, or share with a family member.

Article Summary

Cookie-based authentication has been the default, tried-and-true method for handling user authentication for a long time. Cookie-based authentication is stateful. This means that an authentication record or session must be kept both server and client-side. The server needs to keep track of active sessions in a database, while on the front-end a cookie is created that holds a session identifier, thus the name cookie based authentication....

Educational health guideWritten for patient understanding and clinical awareness.
Reviewed content workflowUse writer and reviewer profiles for stronger trust.
Emergency safety firstUrgent warning signs are highlighted below.

Seek urgent medical care if you notice

These warning signs are general safety guidance. Local emergency numbers and clinical judgment should always come first.

  • Severe symptoms, breathing difficulty, fainting, confusion, or rapidly worsening illness.
  • New weakness, severe pain, high fever, or symptoms after a serious injury.
  • Any symptom that feels urgent, unusual, or unsafe for the patient.
1

Emergency now

Use emergency care for severe, sudden, rapidly worsening, or life-threatening symptoms.

2

See a doctor

Book a professional medical evaluation if symptoms persist, worsen, recur often, affect daily activities, or occur in a high-risk patient.

3

Learn safely

Use this article to understand possible causes, tests, treatment options, prevention, and questions to ask your clinician.

Cookie-based authentication has been the default, tried-and-true method for handling user authentication for a long time.

Cookie-based authentication is stateful. This means that an authentication record or session must be kept both server and client-side. The server needs to keep track of active sessions in a database, while on the front-end a cookie is created that holds a session identifier, thus the name cookie based authentication. Let’s look at the flow of traditional cookie-based authentication:

User enters their login credentials. Server verifies the credentials are correct and creates a session which is then stored in a database. A cookie with the session ID is placed in the users browser. On subsequent requests, the session ID is verified against the database and if valid the request processed. Once a user logs out of the app, the session is destroyed both client-side and server-side.

###Token-Based Authentication

Token-based authentication has gained prevalence over the last few years due to the rise of single page applications, web APIs, and the Internet of Things (IoT). When we talk about authentication with tokens, we generally talk about authentication with JSON Web Tokens (JWTs). While there are different ways to implement tokens, JWTs have become the de-facto standard. With this context in mind, the rest of the article will use tokens and JWTs interchangeably.

Token-based authentication is stateless. The server does not keep a record of which users are logged in or which JWTs have been issued. Instead, every request to the server is accompanied by a token which the server uses to verify the authenticity of the request. The token is generally sent as an addition Authorization header in the form of Bearer {JWT}, but can additionally be sent in the body of a POST request or even as a query parameter. Let’s see how this flow works:

  • User enters their login credentials.
  • Server verifies the credentials are correct and generates and returns a signed token.
  • This token is stored client-side, most commonly in local storage – but can be stored in session storage or a cookie as well.
  • Subsequent requests to the server include this token as an additional Authorization header or through one of the other methods mentioned above.
  • The server decodes the JWT and if the token is valid processes the request.
  • Once a user logs out, the token is destroyed client-side, no interaction with the server is necessary.

Advantages of Token-Based Authentication

Understanding how something works is only half the battle. Next, we’ll cover the reasons why token authentication is preferable over the traditional cookie-based approach.

Stateless, Scalable, and Decoupled

Perhaps the biggest advantage to using tokens over cookies is the fact that token authentication is stateless. The back-end does not need to keep a record of tokens. Each token is self-contained, containing all the data required to check it’s validity as well as convey user information through claims.

The server’s only job, then, becomes to sign tokens on a successful login request and verify that incoming tokens are valid. In fact, the server does not even need to sign tokens. Third party services such as Auth0 can handle the issuing of tokens and then the server only needs to verify the validity of the token.

Cross Domain and CORS

Cookies work well with singular domains and sub-domains, but when it comes to managing cookies across different domains, it can get hairy. In contrast, a token-based approach with CORS enabled makes it trivial to expose APIs to different services and domains. Since the JWT is required and checked with each and every call to the back-end, as long as there is a valid token, requests can be processed. There are a few caveats to this and we’ll address those in the Common Questions and Concerns section below.

Store Data in the JWT

With a cookie based approach, you simply store the session id in a cookie. JWT’s, on the other hand, allow you to store any type of metadata, as long as it’s valid JSON. The JWT spec specifies different types of claims that can be included such as reserved, public and private. You can learn more about the specifics and the differences between the types of claims on the jwt.io website.

In practice, what this means is that a JWT can contain any type of data. Depending on your use case you may choose to make the minimal amount of claims such as the user id and expiration of the token, or you may decide to include additional claims such as the user’s email address, who issued the token, scopes or permissions for the user, and more.

Performance

When using the cookie-based authentication, the back-end has to do a lookup, whether that be a traditional SQL database or a NoSQL alternative, and the round trip is likely to take longer compared to decoding a token. Additionally, since you can store additional data inside the JWT, such as the user’s permission level, you can save yourself additional lookup calls to get and process the requested data.

For example, say you had an API resource /api/orders that retrieves the latest orders placed via your app, but only users with the role of admin have access to view this data. In a cookie based approach, once the request is made, you’d have one call to the database to verify that the session is valid, another to get the user data and verify that the user has the role of admin, and finally a third call to get the data. On the other hand, with a JWT approach, you can store the user role in the JWT, so once the request is made and the JWT verified, you can make a single call to the database to retrieve the orders.

JWT Size

The biggest disadvantage of token authentication is the size of JWTs. A session cookie is relatively tiny compared to even the smallest JWT. Depending on your use case, the size of the token could become problematic if you add many claims to it. Remember, each request to the server must include the JWT along with it.

Where to Store Tokens?

With token-based auth, you are given the choice of where to store the JWT. Commonly, the JWT is placed in the browser’s local storage and this works well for most use cases. There are some issues with storing JWTs in local storage to be aware of. Unlike cookies, local storage is sandboxed to a specific domain and its data cannot be accessed by any other domain including sub-domains. Because localStorage works on same-origin policy. So, data stored will only be available on the same origin.

You can store the token in a cookie instead, but the max size of a cookie is only 4kb so that may be problematic if you have many claims attached to the token. Additionally, you can store the token in session storage which is similar to local storage but is cleared as soon as the user closes the browser.

XSS and XSRF Protection

Protecting your users and servers is always a top priority. One of the most common concerns developers have when deciding on whether to use token-based authentication is the security implications. Two of the most common attack vectors facing websites are Cross Site Scripting (XSS) and Cross-Site Request Forgery (XSRF or CSRF).

Cross Site Scripting) attacks occur when an outside entity is able to execute code within your website or app. The most common attack vector here is if your website allows inputs that are not properly sanitized. If an attacker can execute code on your domain, your JWT tokens are vulnerable.

XSS attacks are much easier to deal with compared to XSRF attacks because they are generally better understood. Many frameworks, including Angular, automatically sanitize inputs and prevent arbitrary code execution. If you are not using a framework that sanitizes input/output out-of-the-box, you can look at plugins like caja developed by Google to assist. Sanitizing inputs is a solved issue in many frameworks and languages and I would recommend using a framework or plugin vs building your own.

Cross Site Request Forgery attacks are not an issue if you are using JWT with local storage.

On the other hand, if your use case requires you to store the JWT in a cookie, you will need to protect against XSRF. XSRF are not as easily understood as XSS attacks. Luckily, preventing XSRF attacks is a fairly simple matter. To over-simplify, protecting against an XSRF attack, your server, upon establishing a session with a client will generate a unique token (note this is not a JWT). Then, anytime data is submitted to your server, a hidden input field will contain this token and the server will check to make sure the tokens match. Again, as our recommendation is to store the JWT in local storage, you probably will not have to worry about XSRF attacks.

Luckily, preventing XSRF attacks is a fairly simple matter. To over-simplify, protecting against an XSRF attack, your server, upon establishing a session with a client will generate a unique token (note this is not a JWT). Then, anytime data is submitted to your server, a hidden input field will contain this token and the server will check to make sure the tokens match. Again, as our recommendation is to store the JWT in local storage, you probably will not have to worry about XSRF attacks.

Ways to protect token

1> One of the best ways to protect your users and servers is to have a short expiration time for tokens. That way, even if a token is compromised, it will quickly become useless.

2> Additionally, you may maintain a blacklist of compromised tokens and not allow those tokens access to the system.

3> Finally, the nuclear approach would be to change the signing algorithm, which would invalidate all active tokens and require all of your users to log in again. This approach is not easily recommended, but is available in the event of a severe breach.

Tokens Are Signed, Not Encrypted

A JSON Web Token is comprised of three parts: the header, payload, and signature. The format of a JWT is header.payload.signature. If we were to sign a JWT with the HMACSHA256 algorithm, the secret ‘shhhh’ and the payload of:

{
"sub": "1234567890",
"name": "Ado Kukic",
"admin": true
}

The JWT generated would be:

eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJzdWIiOiIxMjM0NTY3ODkwIiwibmFtZSI6IkFkbyBLdWtpYyIsImFkbWluIjp0cnVlLCJpYXQiOjE0NjQyOTc4ODV9.Y47kJvnHzU9qeJIN48_bVna6O0EDFiMiQ9LpNVDFymM

The very important thing to note here is that this token is signed by the HMACSHA256 algorithm, and the header and payload are Base64URL encoded, it is not encrypted. If I go to jwt.io, paste this token and select the HMACSHA256 algorithm, I could decode the token and read its contents. Therefore, it should go without saying that sensitive data, such as passwords, should never be stored in the payload.

If you must store sensitive data in the payload or your use case calls for the JWT to be obscured, you can use JSON Web Encryption (JWE). JWE allows you to encrypt the contents of a JWT so that it is not readable by anyone but the server. JOSE provides a great framework and different options for JWE and has SDKs for many popular frameworks including NodeJS and Java.

Further resources to refer

1> https://dzone.com/articles/cookies-vs-tokens-the-definitive-guide

Patient safety assistant

Check your symptom safely

Hi, I am RX Symptom Navigator. I can help you understand what to read next and what warning signs need care.
Warning: Do not use this in emergencies, pregnancy, severe illness, or as a substitute for a doctor. For children or teens, use with a parent/guardian and clinician.
A rural-friendly guide: warning signs, when to see a doctor, related articles, tests to discuss, and OTC safety education.
1 Symptom 2 Severity 3 Safe guidance
First safety question

Is there chest pain, breathing trouble, fainting, confusion, severe bleeding, stroke-like weakness, severe injury, or pregnancy danger sign?

Choose quickly

Browse by body area
Start here: Write or select a symptom. The guide will show warning signs, doctor guidance, diagnostic tests to discuss, OTC safety education, and related RX articles.

Important: This tool is educational only. It cannot diagnose, treat, or replace a doctor. OTC information is not a prescription. In an emergency, contact local emergency services or go to the nearest hospital.

Doctor visit helper

Prepare before seeing a doctor

A simple rural-patient checklist to help you explain symptoms clearly, ask better questions, and avoid unsafe self-treatment.

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Start with a registered doctor or the nearest qualified health center.

What to tell the doctor

  • Write when the problem started and how it changed.
  • Bring old prescriptions, investigation reports, and current medicines.
  • Write allergies, pregnancy status, diabetes, kidney/liver disease, and major past illnesses.
  • Bring one family member if the patient is weak, elderly, confused, or a child.

Questions to ask

  • What is the most likely cause of my symptoms?
  • Which danger signs mean I should go to hospital quickly?
  • Which tests are necessary now, and which can wait?
  • How should I take medicines safely and what side effects should I watch for?
  • When should I come for follow-up?

Tests to discuss

  • Vital signs: temperature, pulse, blood pressure, oxygen saturation
  • Basic physical examination by a clinician
  • CBC, urine test, blood sugar, or imaging only when clinically needed

Avoid these mistakes

  • Do not use antibiotics, steroid tablets/injections, or strong painkillers without proper medical advice.
  • Do not hide pregnancy, kidney disease, ulcer, allergy, or blood thinner use.
  • Do not delay emergency care when danger signs are present.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Rest, drink safe water, and observe symptoms carefully.
  • Keep a written note of symptoms, duration, temperature, medicines already taken, and allergy history.
  • Seek medical care quickly if symptoms are severe, worsening, or unusual for the patient.

OTC medicine safety

  • For mild pain or fever, ask a registered pharmacist or doctor before using common over-the-counter pain/fever medicines.
  • Do not combine multiple pain medicines without advice, especially if you have kidney disease, liver disease, stomach ulcer, asthma, pregnancy, or take blood thinners.
  • Do not give adult medicines to children unless a qualified clinician advises it.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Severe symptoms, confusion, fainting, breathing difficulty, chest pain, severe dehydration, or sudden weakness need urgent medical care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Doctor / qualified healthcare provider
Tests to discuss with doctor
  • Basic vital signs: temperature, pulse, blood pressure, oxygen level if needed
  • Relevant blood, urine, imaging, or specialist tests only after clinical assessment
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Patient care roadmap

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • Severe or rapidly worsening symptoms
  • Breathing difficulty, chest pain, fainting, confusion, severe weakness, major injury, or severe dehydration
Doctor / service to discuss: Qualified healthcare provider; specialist depends on symptoms and examination.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Do tests after clinical assessment. Avoid unnecessary tests, random antibiotics, or repeated medicines without diagnosis.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.

RX Patient Help

Ask a health question safely

Write your symptom story. A health professional or site editor can review it before any answer is prepared. This box is not for emergency care.

Emergency first: Severe chest pain, breathing trouble, unconsciousness, stroke signs, severe injury, heavy bleeding, or rapidly worsening symptoms need urgent local medical care now.

Frequently Asked Questions

Advantages of Token-Based Authentication Understanding how something works is only half the battle. Next, we'll cover the reasons why token authentication is preferable over the traditional cookie-based approach.Stateless, Scalable, and Decoupled Perhaps the biggest advantage to using tokens over cookies is the fact that token authentication is stateless. The back-end does not need to keep a record of tokens. Each token is self-contained, containing all the data required to check it's validity as well as convey user information through claims. The server's only job, then, becomes to sign tokens on a successful login request and verify that incoming tokens are valid. In fact, the server does not even need to sign tokens. Third party services such as Auth0 can handle the issuing of tokens and then the server only needs to verify the validity of the token.Cross Domain and CORS Cookies work well with singular domains and sub-domains, but when it comes to managing cookies across different domains, it can get hairy. In contrast, a token-based approach with CORS enabled makes it trivial to expose APIs to different services and domains. Since the JWT is required and checked with each and every call to the back-end, as long as there is a valid token, requests can be processed. There are a few caveats to this and we'll address those in the Common Questions and Concerns section below.Store Data in the JWT With a cookie based approach, you simply store the session id in a cookie. JWT's, on the other hand, allow you to store any type of metadata, as long as it's valid JSON. The JWT spec specifies different types of claims that can be included such as reserved, public and private. You can learn more about the specifics and the differences between the types of claims on the jwt.io website. In practice, what this means is that a JWT can contain any type of data. Depending on your use case you may choose to make the minimal amount of claims such as the user id and expiration of the token, or you may decide to include additional claims such as the user's email address, who issued the token, scopes or permissions for the user, and more.Performance When using the cookie-based authentication, the back-end has to do a lookup, whether that be a traditional SQL database or a NoSQL alternative, and the round trip is likely to take longer compared to decoding a token. Additionally, since you can store additional data inside the JWT, such as the user's permission level, you can save yourself additional lookup calls to get and process the requested data. For example, say you had an API resource /api/orders that retrieves the latest orders placed via your app, but only users with the role of admin have access to view this data. In a cookie based approach, once the request is made, you'd have one call to the database to verify that the session is valid, another to get the user data and verify that the user has the role of admin, and finally a third call to get the data. On the other hand, with a JWT approach, you can store the user role in the JWT, so once the request is made and the JWT verified, you can make a single call to the database to retrieve the orders.JWT Size The biggest disadvantage of token authentication is the size of JWTs. A session cookie is relatively tiny compared to even the smallest JWT. Depending on your use case, the size of the token could become problematic if you add many claims to it. Remember, each request to the server must include the JWT along with it.Where to Store Tokens?

With token-based auth, you are given the choice of where to store the JWT. Commonly, the JWT is placed in the browser's local storage and this works well for most use cases. There are some issues with storing JWTs in local storage to be aware of. Unlike cookies, local storage is sandboxed to a specific domain and its data cannot be accessed by any other domain including sub-domains. Because localStorage works on same-origin policy. So, data stored will only be available…

References

Add references, clinical guidelines, textbooks, journal articles, or trusted medical sources here. You can edit this area from the RX Article Professional Blocks panel.