SELECT 
  1 
FROM 
  cscart_aprilec_print_temp_designs 
WHERE 
  session_id = 'P6TL-7BST-KW5W-MJ66-JPZL-HQ9J-8UR6-HMY9' 
  AND product_id = 103 
  AND expires_at > 1778098328 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00029

JSON explain

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