SELECT 
  1 
FROM 
  cscart_aprilec_print_temp_designs 
WHERE 
  session_id = '3T0Y-V99B-FRIN-U6R7-806R-I1I1-9GDE-U489' 
  AND product_id = 282 
  AND expires_at > 1778129781 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00038

JSON explain

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