"pruning of old requests will not trigger often, so old rejected requests may persist."
https://www.mediawiki.org/wiki/Extension:ConfirmAccount#Known_issues
This problem will prevent rejected emails from requesting an account again. After Admin rejected an account request, the same username/email could not submit another request. Error on 2nd attempt:
Username is already in use in a pending account request.
To fix, prune after every rejection, to clear the request cache.