I got curious what all the traffic was, so I added a route to the API that saved some of the uploaded data. It was live home surveillance video and photos! Indoors, outdoors, baby monitors, living rooms, etc. It was pretty easy to find which vendor's hardware was doing this (from headers, paths, watermarks) and I reached out to their security contact to let them know what I found. They responded generically but didn't seem to care that much.
In short, because HTTPS was required, and an ELB gets assigned IPv4 addresses arbitrarily, I can only conclude that a whole fleet of home security cameras were sold across the US that hard-coded the IP address of their cloud server and had certificate validation disabled.