SELECT 
  1 
FROM 
  cscart_aprilec_print_temp_designs 
WHERE 
  session_id = 'YESD-DNA1-26AI-4F19-D9TM-LEAR-KKL6-F1QL' 
  AND product_id = 116 
  AND expires_at > 1777990084 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00028

JSON explain

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