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SELECT 
  1 
FROM 
  cscart_june_setupec_print_temp_designs 
WHERE 
  session_id = 'Y1DJ-5BB7-2WBG-45DO-QFSH-Z6VT-740I-J1V3' 
  AND product_id = 148 
  AND expires_at > 1781888690 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00033

JSON explain

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