A fastener with an dampener is provided. The dampener is integrated with the fastener thus eliminating the need for an additional dampener installation. The fastener includes a shaft, a head connected to the shaft, and a dampener connected to the head. The dampener includes a piston and a compression chamber that is adapted to reduce vibration and noise when installed between two panels. The dampener is mounted to the underside of the head of a bolt, or to a trim piece. In other embodiments, the dampener is connected to the head of a clip. The dampener is adapted to rest between the head of a bolt and an adjacent panel thereby slightly spacing out the bolt head from the panel, such as sheet metal.