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SELECT 
  1 
FROM 
  cscart_aprilec_print_temp_designs 
WHERE 
  session_id = '1UHX-MQXY-HP4T-TYGQ-U24J-7K5T-3M9V-ADNV' 
  AND product_id = 6 
  AND expires_at > 1777640644 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00020

JSON explain

{
  "query_block": {
    "select_id": 1,
    "message": "no matching row in const table"
  }
}