SELECT 
  1 
FROM 
  cscart_aprilec_print_temp_designs 
WHERE 
  session_id = 'S81I-OXC9-3NW1-Z4M1-4Q1B-Z4RQ-52UN-5KH9' 
  AND product_id = 15 
  AND expires_at > 1777906376 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00021

JSON explain

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