SELECT 
  1 
FROM 
  cscart_june_setupec_print_temp_designs 
WHERE 
  session_id = '7I6T-M3M4-V8Q1-OPY7-99UF-Z0FH-1B00-HJN1' 
  AND product_id = 227 
  AND expires_at > 1781894025 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00022

JSON explain

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