As per the readme.txt on ClinVar ftp download site.
variant_summary.txt
Generated monthly, the first Thursday of the month
A tab-delimited report based on each allele at a location on the genome for which data have been submitted to ClinVar.
AlleleID integer value as stored in the AlleleID field in ClinVar (//Measure/@ID in the XML)
Type character, the type of variation
Name character, the preferred name for the variation
GeneID integer, GeneID in NCBI's Gene database
GeneSymbol character, comma-separated list of GeneIDs overlapping the variation
ClinicalSignificance character, comma-separated list of values of clinical significance reported for this variation
RS# (dbSNP) integer, rs# in dbSNP
nsv (dbVar) character, the NSV identifier for the region in dbVar
RCVaccession character, list of RCV accessions that report this variant
TestedInGTR character, Y/N for Yes/No if there is a test registerd as specific to this variation in the NIH Genetic Testing Registry (GTR)
PhenotypeIDs character, list of db names and identifers for phenotype(s) reported for this variant
Origin character, list of all allelic origins for this variation
Assembly character, name of the assembly on which locations are baed
Chromosome character, chromosomal location
Start integer, starting location, in pter->qter orientation
Stop integer, end location, in pter->qter orientation
Cytogenetic character, ISCN band
ReviewStatus character, highest review status for reporting this measure
HGVS(c.) character, RefSeq cDNA-based HGVS expression
HGVS(p.) character, RefSeq protein-based HGVS expression
NumberSubmitters integer, number of submissions with this variant
LastEvaluated datetime, the latest time any submitter reported clinical significance
Guidelines character, ACMG only right now, for the reporting of incidental variation in a Gene (NOTE: if ACMG, not a specific to the allele but to the Gene)
OtherIDs character, list of other identifiers or sources of information about this Gene
Thanks that helped !