Vegetation is a sensitive factor in marsh ecosystems, which can provide nesting sites, foraging areas, and hiding places for waterfowl and can affect their survival environment. The Jilin Momoge National Nature Reserve, which consists of large areas of marshes, is located in the semi-arid region of northeast China and is an important stopover site for the critically endangered species of the Siberian Crane (Grus leucogeranus). Global climate change, extreme droughts and floods, and large differences in evaporation and precipitation in this region can cause rapid vegetation succession. In recent years, increased grain production and river-lake connectivity projects carried out in this area to increase grain outputs and restore wetlands have caused significant changes in the hydrological and landscape patterns. Therefore, research on the response of variation trends in vegetation patterns to the main driving factors (climate change and human activities) is critical for the conservation of the Siberian Crane. Based on the Google Earth Engine (GEE) platform, we obtained and processed the Normalized difference vegetation index (NDVI) data of the study area during the peak summer vegetation period for each year from 1984 to 2020, estimated the annual vegetation cover using Maximum value composites (MVC) method and the image dichotomy method, calculated and analyzed the spatial and temporal trends of vegetation cover, explored the response of vegetation cover change in terms of climate change and human activities, and quantified the relative contribution of both. The results revealed that first, from the spatial and temporal changes, the average annual growth rate of regional vegetation was 0.002/a, and 71.14% of the study area was improved. The vegetation cover showed a trend of degradation and then recovery, in which the percentage of high vegetation cover area decreased from 51.22% (1984–2000) to 28.33% (2001–2005), and then recovered to 55.69% (2006–2020). Second, among climate change factors, precipitation was more correlated with the growth of vegetation in the study area than temperature, and the increase in precipitation during the growing season could promote the growth of marsh vegetation in the Momoge Reserve. Third, overall, human activities have contributed to the improvement of vegetation cover in the study area with the implementation of important ecological projects, such as the return of farmland to wetlands, the return of grazing to grass, and the connection of rivers and lakes. Fourth, climate change and human activities jointly drive vegetation change, but the contribution of human activities in both vegetation improvement and degradation areas (85.68% and 78.29%, respectively) is higher than that of climate change (14.32% and 21.71%, respectively), which is the main reason for vegetation improvement or degradation in the study area. The analysis of vegetation pattern change within an intensive time series in semi-arid regions can provide a reference and basis for studying the driving factors in regions with rapid changes in vegetation and hydrological conditions.